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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00250 liil DEVELOPMENT SERVICES DATE ISSUED: 7/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09300 SW 70TH AVE PARCEL: 1S125DA-08800 SUBDIVISION: KINGS VIEW ZONING: R - 4.5 BLOCK: LOT: 064 JURISDICTION: TIG REMARKS: 926 sq ft addition BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 17 FIRST: 126 sf BASEMENT: 360 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 440 sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 44,096.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 566 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 3 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/F DR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: 8,00 SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS ARENSPC OCC: ELECTRICAL. • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,117.24 GRECO, ROBIN OWNER This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 9300 SW 70TH AVE all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You Reg #: may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Underfloor insulation Plumb Top Out Insulation Insp Plumb Final Grading Inspection Crawl Drain /Backwater Electrical Rough In Rain drain lnsp Final inspection Footing Insp PLM /Underfloor Framing Insp Roof Nailing Foundation Insp Ftng Drain Bsm't Walls Shear Wall lnsp Electrical Final Slab Insp Mechanical Insp Exterior Sheathing Insr Mechanical Final 411" 1/4.......q � ,..-- , 1� 1 / / Issued By . i .../,i ,__ ■.��, Permittee Signature Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . . Building Permit A lication • FOR OFFICE USE ONLY , Received / Building kJ DO�� RE CE ; :\/ED Date/By: /4103 0? J' Permit No.: / [/'700',5 — Planning Approval Other \' City of Tigard Date/By: Permit No.: I 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 �U� 16 2003 Date /By: rnw 6-� - 0� PermitNo.: Phone: 503- 639 -4171 Faa^y:f l5O3 I8 D . `�'pll}U ." j 1 Post-Review Land Use W Internet: www.ci.tigard.or iLDING DIVISI • °�=' "� ^ - Contact ris • -. ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: 4,, Supplemental Information TYPE OF WORK „ . . REQUIRED DATA: • '-- ' ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING ®, Addition/alteration/replacement I ❑ Other: ' CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate (.1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building 0 Multi- Family ❑ Master Builder ❑ Other: Valuation $ 31 3 JOB: SITE INFORMATION and LOCATION ' No. of bedrooms:_ No. of ba s:_i Job site address: �3D0 s �Ok1n �Ve, Total number of floors �eink -V aPnr S 10c New dwelling area (sq. ft.) 9`L4P 9 5k-• Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) D ,--- Project Name: - 94513114. QZc_c_ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: - COMMERCIAL - USE CHECKLIST . , Subdivision: 1 Lot #: p -,, Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories >OROPERTY OWNER • 1 ❑ TENANT Type of construction Name: 'ROB i N !?.CO Occupancy group(s): Existing: New: Address: 4 ?300 SW -- 46 - k . Au e City /State /Zip: T G Zp, `li 223 Phone: 503 -2 y5 • c k ZO (p Fax: $03. 94 • ( S NOTICE: All contractors and subcontractors are required to be licensed w the Oregon Construction Contractors Board under APPLICANT. ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: C), A VS” IDD licensing, the following reason applies: la-Dr=, Address: SCAx ' e.. City /State /Zip: G 4s 0 � zz3 Phone: -24S -� �� Fax: � o3 - 2.4 4 (aCOS" C c„ BUILDIN P FEES* E -mail: rob ..3rec v'r da ® CQtrl/� 0® b1,Cc . Please refer to'feeschedule. . J CONTRACTOR Business Name: QCto V\- Fees due upon application $ 5g©. `'t3 Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #. Authorized • Gl I Notice: This permit application expires if a permit is not obtained within Signature / t.�C-�_' � '' # Date: 4:7" �b 180 days after has been accepted as complete. lb W\ C —eC---0 *Fee methodology set by Tri -County Building Industry Service Board. (Please punt name) �p is \Dsts\Permit Forms\BldgPerrnitApp.doc 01/03 , 1 3 \ ,/A One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: of Tigard Associated permits: City of Tigard City g O Electrical 0 Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 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 0 plan 0 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 comer elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) 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 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6/00/COM) Building Fixtures • Plumbing Permit 'Apjilication FOR OFFICE USE ONLY Received Plumbing Date/By: ( ��P D� Permit No.: N 5 4,oa25n City of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503-598-1960 , v A \ Post Land Use �/an�vM'�: Date/By: Case No.: Internet: www.ci.tigard.or.us - r � , I Contact Juris.: ® See Page 2 for ` 24 -hour Inspection Request: 503 -639 -4175 -' " " Name/Method: Supplemental Information. TYPE OF WORK FEE* SCHEDULE (for special information use checklist) New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total ,ddition/alteration/replacement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 249.20 �'1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 10Accessory Building ❑ Multi - Family SFR (3) bath 399.00 Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: C.V)Oc Ui - CAI" FNU Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Drywell/leach line /trench drain 16.60 Project Name: l ena 1N G' -£.CO Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: e . 4louse Manufactured home utilities 110.00 lJ� k s 5 t°`C o S A"� CAN n n c*. Manholes 16.60 - ROO 9t. SD, p C 1 -qy b S S 1 �� Rain drain connector 16.60 S e-3)\1 Sanitary sewer (no. linear ft.) Page 2 Subdivision: l N GS U ( l u) Lot #: e� Storm sewer (no. linear ft.) Page 2 l� Water service (no. linear ft.) • Page 2 Tax map /parcel #: 1S ( .5 O f} - 4`$DO Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 s a� i .Q ,N tcr C 2A ' \- - IA r�c\Wl. Backflow preventer Page 2 4 A li � t S+ ± IQ ( N l , gale Backwater valve 16.60 Ubl ` Clothes washer 16.60 �' Dishwasher 16.60 Drinking fountain 16.60 `$ ROPERTY OWNER 1 ❑ TENANT Ejectors/sump 16.60 / Name: $ (t) c 3 S CO Expansion tank 16.60 Address: q3, 5 W 04t, 10\0 Fixture /sewer cap 16.60 Cit /State /Zi : i Q �,A, o g_ QC 1 Z2-3 Floor drain/floor sink/hub 16.60 }� P l Garbage disposal 16.60 Phone:Sa3.2 5- c / Fax: ' 2tf 4 ' Goo Hose bib ( 16.60 16. (pa 'APPLICANT _ ❑ CONTACT PERSON Ice maker 16.60 Name: Rp 13 t (b ( .Q_C_tD Interceptor /grease trap 16.60 Address: Gj3 c s 16.41., '{\v Medical gas - value: $ Page 2 Primer 16.60 City /State /Zip: c r ` s-c( p Q a-2Z3 Roof drain (commercial) 16.60 . Phone. 2 , 2O(a 1 Fax: 3)3- - DCDS Sink/basin/lavatory 1 16.60 d , ( c�M E -mail: C.v. -E_l(Z- a { (0; , c Tub /shower /shower. pan ` 16.60 16), (00 CONTRACTOR Urinal 16.60 � ° Water closet 1 16.60 ((Q, fo0 Business Name: C�N`�� Water heater 16.60 Address: Other: `'" i'o ll odtva7 -,,ot�¢0..1l f(, hoir' (&). / City /State /Zip: Other: i Phone: Fax: Plumbing Permit Fees* Subtotal $ g3 , W CCB Lic. #: Plumb. Lic. #: Minimum Permit Fee $72.50 $ . Authorize. y �/ � , 6 /C' ,O Resid ential Backflow Minimum Fee $36.25 Signature• A.� / ' Date: Plan Review (25% of Permit Fee) $ i V\ . 0,._ CC) State Surcharge (8% of Permit Fee) $ u (Please print name) TOTAL PERMIT FEE _ $ • a tip / Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wit isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri- County Building Industry Service Board. ' i:\Dsts\Permit Forms \PlmPermitApp.doc 01/03 I Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information . Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: - Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $l .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 additional $100.00 or fraction thereof, to and Fixture or Item Qty. Fee (ea) Total including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by (Fixture) Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Existing Capped Baptistry/Font _ - Bath - Tub /Shower - Jacuzzi/Whirlpool _ Car Wash -Each Stall - -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" -4 " Car Wash Drain _ *Note: If the fixture work under this permit results in an Garbage - Domestic Disposal - Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach. /Refrig. Drains' plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet , Urinal Other Fixtures: • • is \Dsts\Permit Forms\P1mPermitAppPg2.doc 01/03 • FOIL OFFICE ICE USE ONLY • Mechanical Permit A�pllcatlon Received Mechanical Date/By: c' / D 3 Permit - z 2 t City of TIa a1Cd Planning Approval Building b Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 4, rdi Post - Review Land Use I Date/By: Case No.: Internet: www.ci.tigard.or.us c�) I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503-6394175 _' Name/Method: Supplemental Information. - TYPE OF WORK_ _COMMERCIAL FEE* SCHEDULE = USE CHECKLIST. ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work A: CATEGORY ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all T CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description 1 Qty 1 Fee(ea.) 1 Total ❑ Master Builder ❑ Other: Heating/Cooling " JOB SITE INFORMATION and LOCATIO Furnace - add -on air conditioning ** 14.00 Job site address: �3O S,,) t (41. U Gas heat pump 14.00. Suite #: 1 Bldg. /Apt. #: Duct work 1 14.00 / f.®l1 Project Name: KpiS ( GQ Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: \(ellp cso l'1put.Se (for radiator or hydronic system) 14.00 6Y q a..4- S (cke a - -- c -OW Q 9 ✓'' Unit heaters (fuel, not electric) bC0 — f 0 Si So . OS T (tk f- (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 10.00 Subdivision: K t J G S U fe., UJ 1 Lot #: 0G4 Repair units 12.15 Other Fuel Appliances Tax map /parcel #: 'l S t ZS' 'P R — 0 8 $ 00 Water heater 10.00 . DESCRIPTION OF WO' Gas fireplace 10.00 A AA / 8. , t ,.� &` *i i 1 Q , r62�{ Flue vent (water heater /gas fireplace) 10.00 / ^ l � A - l . Log lighter (gas) 10.00 ��` l t Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 �( R OPE OWNER (❑ TENANT Other: 10.00 / me: G � e 0 Environmental Exhaust &Ventilation � Range hood/other kitchen equipment 10.00 Address: 9:3c_... Sw 46 AA,. CiA1 q_ Clothes dryer exhaust 10.00 City /State /Zip: T a neN CD 03 1 ZZ Single duct exhaust 1�' _ P n e:503 -v-t - 't. Fax: 5- t � �S - (4' (bathrooms, toilet compartments, PPLICANT . _ 0 CONTACT PERSON utility rooms) f 6.80 6 �bi. Name: n 6 (L__c_o Attic/crawl space fans 10.00 Other: 10.00 Address: en,�Q Fuel Piping City /State /Zip: * *($5.40 for first 4, $1.00 each additional) Phone: I Fax: Furnace, etc. ** Gas heat pump ** E -mail: Wall/suspended/unit heater ** CONTRACTOR Water heater ** Business Name: 0 (L kt■_ c-- Fireplace ** Range ** Address: Sa fie- BBQ ** City /State /Zip: Clothes dryer (gas) ** Phone: I Fax: Other: ** CCB Lic. #: Total: • Authorized / Subtotal: $' . VC) Signatur • 1 �I �� ' 1 _• �� Date: (9 ` ' l / _ Me c hanical Permit Fees* � Minimum Pernit Fee $72.50 $ . tz Plan Review Fee (25% of Permit Fee) $ 0 t ( � ` ` ( Please print name) / State Surcharge (8% of Permit Fee) $ - - .$. ''O TOTAL PERMIT FEE $ O SO Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPernitApp.doc 01/03 Mechanical Permit Application - City of Tigard , Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $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 and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Assuriied Valuations Per'Appliance: ' Value Total Description: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 • ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp; absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU - 30 -50 hp; absorb. unit, 3,400 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 J Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets - 360 Each additional outlet 63 TOTAL COMMERCIAL $ • VALUATION: is \Dsts\Permit Forms\MecPermitAppPg2.doc 01/03 • Electrical•Permit "Application FOR OFFICE USE ONLY Received Electrical Date/By: W / ttp l0 3 Permit No.: �5r,o0 3 _ 15-0 C ity of Ti and Planning Approval Sign g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use G� VIP '� Date/By: No.: Internet: www.ci.tigard.or.us s Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 _" Name /Method: Supplemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health-care facility commercial ❑ Hazardous location ® Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in M 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: �?�pp u)^ Igoe_ FEE* SCHEDULE Suite #: I Bldg. /Apt. #: Number of inspections per permit allowed Project Name: R ( ro caco Description Qty Fee (ea.) Total New residential - single or multi- family per Cross street/Directions 1(0110 kocASe dwelling unit. Includes attached garage. c'A. 5 ff SIC OS- WC k Q Op SOY Service included: ' r c � p + 1 1000 sq. ft. or less 145.15 4 — 100 SO, oS-" - 17:51.4 to CS \ C Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: K(tJG S V ltAV I Lot #: cz ' Limited energy, residential 75.00 2 � Limited energy, non residential 75.00 2 Tax map /parcel #: k S t 2 S 0 8 goo Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders - installation, A 410s <4 b CC v c(n C t (C L t k alteration or relocation: 200 amps or less 80.30 2 Cif C4 t 4 t OA 201 amps to 4400 amps 106.85 2 401 amps to 600 amps 160.60 2 PROPERTY OWNER 1 ❑ TENANT 601 amps to 1000 amps 240.60 2 /� Over 1000 amps or volts 454.65 2 Name: a I ES F. err) Reconnect only 66.85 2 Address: 9.3•0 Sl93 1o4t.., R e Temporary services or feeders - installation, 2 ` q l alteration, or relocation: City/State/Zip: J Z 2 3 Itgr O l c z t 200 amps or less 66.85 1 Phone: 503' 2 4 , S.9 - 106 Fax: a 244 ' 60 201 amps to 400 amps 100.30 2 PPLICANT ❑ CONTACT PERSON 401 to 600 amps 133.75 2 Branch circuits - new, alteration, or Name: Roc; ( (U 6' QC c 0 extension per panel: lam`' A. Fee for branch circuits with purchase of Address: `"1300 S W % ttn PI U e service or feeder fee, each branch circuit 6.65 2 City/State /Zip: Qc ( p (L 9 g2z3 B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 Vs 2 Phone:90 2�{ 5 c 0 (0 I Fax: SO 3 - 2`t 4 -(o OOS Each additional branch circuit 4 , 6.65 O 2 E -mail: Cc. Mn n ek b 1 1_4 a , COW \ Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, ©' ^ ` Q alteration, or extension Page 2 2 Business Name: l-x� ci Description: Address: Each additional inspection over the allowable in any of the above: City /State /Zip: Per inspection per hour (min. 1 hour) 62.50 Phone: Fax: Investigation fee: Other: CCB Lic. #: Lic. #: Electrical Permit Fees* Supervising electrician Subtotal $ 'Col S'n signature required: Plan Review (25% of Permit Fee) $ < C=3 Print Name: I Lic. #: State Surcharge (8% of Permit Fee) $ 67 .'Y TOTAL PERMIT FEE $ � , 67 Authorized �, Notice: This permit application expires if a permit is not obtained within Signature: ■ , ` ' 9 _ Dater — ((c2 "03 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. `CI . ■__CC-C (P ease punt name) i:\Dsts\Permit Forms\ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard • , Page 2 - Supplemental Information . • LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: ▪ Audio and Stereo Systems 0 Burglar Alarm • Garage Door Opener Heating, Ventilation and Air Conditioning System L Vacuum Systems 0 Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: 0 Audio and Stereo Systems 0 Boiler Controls 0 Clock Systems n Data Telecommunication Installation • 0 Fire Alarm Installation HVAC ❑ Instrumentation 0 Intercom and Paging Systems F - 7 Landscape Irrigation Control Medical 0 Nurse Calls ❑ Outdoor Landscape Lighting ❑ Protective Signaling 0 Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms \ElcPermitAppPg2.doc 01/03 Permit #: )" a - 6O?5 Address: 9g00 cc..) 70 14-1- 4z J Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. Ap/ 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ri 3A. My general contractor (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR Aft 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that e a . 1 ve information is correct and that I have read and do understand the Information Notice to Property Own . • 1 out onstruction Responsibilities on the reverse side of this form. 1 1 L./ . , . C -4) -- 0 (Signature of permit applicant) X (Date) (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure. you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer:you Must withhold income taxes from employee Nvages at the time employees are paid. You will be liable for the tax payments even ifyou don't actually withhold the tax from your employees. For more information. call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer. you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your ernployees. lf you fail to obtain workers' compensation insurance, you may be subject to penalties and will he liable for all claim costs if one ofyour employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even ifyou didn't actually withhold the tax. For more information. call the internal Revenue Service at 1- 800-829 -1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see ifyou have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures. fire. or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofroutz,h -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309 -5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own.pm4 1/94 CITY OF TIGARD BUILDING DIVISION PERMIT #: 1/iST2003.00250 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "I I .. INSPECTION WORKSHEET FOR DATE: 1/25/200 TIME: 7 : 00AM PAGE: 32 SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 064 TYPE OF USE: PROJECT NAME: GRECO DESCRIPTION: 926 sq ft addition OWNER: GRECO ROBIN, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 209 Final in:rpection 063927 -02 503- 245 -9206 N Corrections /Comments/ Instructions: 101/INWRMIIIII■M■IMIIIMIENIFL ARiViiM / ASS ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCE Sl AIL A FO's ' ' TI u N ❑ ADDITIO L FEE ASSESSED Inspector: D ( a DS Phone #: (503) 718- 0% Building Fixtures Plumbin Permit A 11C • FOR OFFICE USE ONLY City of Tigard EIl! • ■ Received permitNo,: /.�'�= "'' 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: ,�_ iri ... � _ - Plan Review Phone: 503.639.4171 Fax: 503.598.1960 AUG 1 ^ ^- - ,� DateBy. Othy( emii e ` t fil5 f / 062 .3 5,; 24- Hour Inspection Line: 503.639.4175 ;.• ] aria: \ { $ . - , Date Ready/13y: ® ee Page 2 for Internet: www.ci.tigard.or.us Cij Notified/Method: Supplemental Information �T F 1 It;ARD TYPE - - FEE* SCHEDULE G DIVFCIOiV ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. l Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION • SFR (1) bath 249.20 ❑ 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 - v 3 pc) w 7O 7' Catch basin or area drain 16.60 City/State/ZIP: 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 1 10.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 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 L TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 0 APPLICANT Hose bib 16.60 ❑ CONTACT PERSON ' Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax: : ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR / Water closet 16.60 Business name: 41.4_,....., 3 P6 IT /C.. pl�/' (ottNI Water heater 16.60 Address: sf / y by I J � Other: j - Subtotal City/State/ZIP: PC t .'v( a^ Minimum permit fee: $72.50 Phone: (4 ) 3 1 • ,Z6 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: pi Q / Plumbing Lic. no.: a�g - 701 Ph Plan review (25% of permit fee) !! State surcharge (8% of permit fee) Authorized signature: ' A 1 (11 t TOTAL PERMIT FEE Print name: Date: r (s 0 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. i:\ Building \Permits \PLMF- PemiltApp.doc 12/03 440- 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 Square Footage:. - Permit Fee: Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm &Rain Drain - 1st 100' 55.00 Valuation Permit Fee:. $1.00 to $5,000.00 • Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each 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 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. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity by (Fixture) Work Performed Fixture Type: Replace New Moved Existing . Capped Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach./Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar/Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: is\ Buildineermin\PLM- PermitApp.doc 3/03 CITY OF TIGARD ‘ 9 , : x" J — oG 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE 'AUG 16 2004 DEAN POTTLE PLUMBING CITY OF TIGARD 4714 NE FREMONT BUILDING DIVISION PORTLAND, OR 97213 cs Gam— ` Plumbing Signature Form Permit #: MST2003 -00250 Date Issued: 7/3/2003 Parcel: 1 S125DA -08800 Site Address: 09300 SW 70TH AVE Subdivision: KINGS VIEW Block: Lot: 064 Jurisdiction: TIG Zoning: R-4.5 Remarks: 926 sq ft addition Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: GRECO, ROBIN DEAN POTTLE PLUMBING 9300 SW 70TH AVE 4714 NE FREMONT TIGARD, OR 97223 PORTLAND, OR 97213 Phone #: Phone #: 503 - 319 -2517 Reg #: PLM 26 -664PB LIC 134791 AN INK SIGNATURE IS REQUIRED ON THIS FORM L e ek _ Att• Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD _ BUILDING DIVISION PERMIT #: MST2003.00250 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2003 Phone: (503) 639 -4171 , e mu+ Inspection Requests (24 Hrs.): (503) 639 -4175 .�'i INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7:00AM PAGE: 33 SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 064 TYPE OF - : PROJECT NAME: GRECO DESCRIPTION: 92€ sq ft addition OWNER: GRECO, ROBIN, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/25120(; Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 063927 -01 503 245 -9206 N Corrections /Comments /Instructions: I/ 14 41/fAr ()-° °`------- Bow / ��a . W Cou4, PAr 544. • PAS S ❑ P' ' TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL /7 ALL FOR ►._ P- ' ION ❑ ADDITIONAL FEE ASSESSED Z Inspector: �/ � � _ , i Date: Z #: (503) 718-16 - l CITY OF TIGARD BUILDING DIVISION PERMIT #: MST7003 UO',50 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2003 Phone: (503) 639 -4171 �ru } 1 Inspection Requests (24 Hrs.): (503) 639 -4175 s' e I.. INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7:05AM PAGE: 54 SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 0 TYPE OF USE: PROJECT NAME: GRECO DESCRIPTION: 926 sq ft addition OWNER: GRFCO, ROBIN, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/ 29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 042588 -02 503 -245 -9206 N Corrections /Comments /Instructions: a g-t te- oc-1 � / ,4. �r/eh L Q-S 141. / f 2.0 =r 4Ail z . / " CiZe Z 1 4,444 QL was Aril, pt. 94;;;0-- ir ✓Y1 Gc-Q/t 1 I 1 ) 2DASS El PA' AL APPROVAL El CANCEL ❑ NO ACCESS j ❑ FAIL • /. - • '�� ' Of+ ❑ ADDITIONAL FEES ASSESSED D Inspector: Date: hone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00250 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/200: Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 8/2/2006 TIME: 7 PAGE: 68 SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 064 TYPE OF USE: ' PROJECT NAME: GRECO DESCRIPTION: 926 sq ft addition OWNER: GRECO, ROBIN, 1 PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0/2/2006 Pour Time: Code # inspection Description Confirm # Contact # Message 639 k)-- Mechanical final 034197 -01 503 - 245 -920G N Corrections /Comments /Instructions: 1 ,�. (a/: ) ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: g— Z �L Phone #: (503) 718- 7-u u 1� 1 f3 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST70030t1�)�,p 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2003 Phone: (503) 639 -4171 .. � 1 p ai l I Inspection Requests (24 Hrs.): (503) 639 -4175 . .... INSPECTION WORKSHEET FOR DATE: 216/7006 TIME: 7:02AM PAGE: 40 SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 064 TYPE OF USE: PROJECT NAME: GRECO DESCRIPTION: 926 sq ft addition OWNER: GRECO, ROBIN, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 026312 503 - 245.9206 N Corrections/Comments/Instructions: 1 l /.rte' ❑ PASS IU PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / IC , FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,6 - 06 Inspector: ( Date: Z Phone #: (503) 718 - MEW i CITY OF TIGARD' BUILDING DIVISION PERMIT #: MST2003 -00250 I , 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/3/7003 i Phone: (503) 639 -4171 �' 1 �1I°i 1 � I Inspection Requests (24 Hrs.): (503) 639 -4175 U- fi __.. INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7 :07AM PAGE: 73 r i SITE ADDRESS: 09300 SW 70TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 064 TYPE OF USE: / , PROJECT NAME: GRECO 11 DESCRIPTION: 926 sq ft addition OWNER: GRECO, ROBIN, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 802005 Pour Time: Code # Inspection Description Confirm # Contact # Message , 295 Misc. inspection 013037 -01 503.245-9206 N Corrections /Comments / Instructio L61 VbL1—(? ift j1"1 NZ� c;L( &PASS • ', 'TIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL A •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • S Inspector . –11 Date: - �� Phone #: (503) 718- CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (50 639 -4175 MST .7-6 0 3 - "c/S INSPECTION DIVISION Business Line: (5 ) 639 -4171 BUP Received Date Requested AM PM BUP Location qc CD° 76). / 'v — Suite MEC Contact Person Ph ( ) PLM Contractor Ph ) SWR BUILDING Tenant/Owner ELC Footing U ELC Foundation Access: g« ac°n0 Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear fgE O ;..._- 14,E 8 • / 0. . 0,4/ a l l Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other F PAS PART FAIL UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Gas Line Smoke Dampers Fi��' PART FAIL RICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ej Please call for reinspection RE: Unable to inspect — no access Fire Supply Line /'7' � � Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record fr a job site. PASS PART FAIL CITY OF TIGARD = 24 -Hour BUILDING Inspection Line:. (503) 639 -4175 MST a0O3` a-s INSPECTION DIVISION Business Line: (503) 639-41 01 00' BUP Received Date Requested g —Z3 - M BUP Location > ', 3n6 r , 76 'l A --(1-z- Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR • Crawl Drain Slab Inspection Notes: q'A Z �I��, ,Q, SIT Post & Beam X�'� Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation D✓ekJ v W 4,,, -c 1— IJQ ,T L-i 0- 'r-ejT A ✓J ,) A-r- Drywall Nailing Firewall "'T! .4vh .1..s -* rat y e 3. T 0.9-4c-ii. g I 17 1 0 4 M Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab .' • ugh - a er ervice Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi 16 � PART .FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL • Service Rough -In UG/Slab Low Voltage Fire Alarm lihih:-1 inal einspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL lease call for reinspection RE: Unable to inspect — no access R 2)Q 9 Inspector 4a 1-,, t,.4; ‘ \ 1 • Ext DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD _ 24 -Hour BUILDING Inspection Line:, (503) 639 -4175 MST 340 —B471 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location 1 3 DO -- 7l - $ -U' -e-- Suite MEC Contact Person • Ph ( )0/ '/S — 9a- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Addin Footing ELC ,r— Foundation Access: .� Ftg Drain ELR / Crawl Drain ' Slab Inspection Notes: SIT ��' Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1� Framing R.c�� r�L Y [� J ' 1 O.o pictf,)6 Q Insulation U ` As. G V Vtt 1".• li Drywall Nailing Firewall "Z &oo ON U Fire Sprinkler Fire Alarm 6--t--1\ Susp'd Ceiling Roof Other: Final PASS PART FAIL �� N �1 to � PLUMBING o1 Post & Beam Under Slab Rough -In O I[ � VEL Water Service l� Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service per ab Low Voltage Fire Alarm F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL $ El Please call for reinspection RE: '= ble • inspect — no access Fire Supply Line O ADA 01 Approach/Sidewalk Date Inspector L/! Lam/ / / Ext Other: Final DO NOT REMOVE this inspection r > cord from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line:, (503) 639 -4175 MST �(6 — 604R So INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ,_ 8- /7 AM �/ PM BUP Location / 30 O 7 c (J — Suite MEC Contact Person K -n > Ph ( ) 1 c 1 — •Sl 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection,.dotes - �� SIT Post & Beam Shear Anchors J Ext Sheath/Shear / /0-14 '��J L-e YI A.A/I/f ) >� Int Sheath/Shear Framing Insulation Drywall Nailing -- — Firewall Fire Sprinkler k D Fire Alarm (..-) u Y �,.. f 1 0 v, i dt i•JcsT (do Susp'd Ceiling Roof �rt ti ✓,.> P I w...� ( 1 , Other: Final PASS PART FAIL PLUMBING Doi)✓ (- o c Post & Beam Un• : Slab � - Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P ASS PART MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA I Approach/Sidewalk Date f11 O'1 Inspector _ID h > (i r� Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour / BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST aO0 3 - d p �1 BUP Received Date Requested o i l AM PM BUP Location 9 17 O 74 Suite MEC Contact Person Ph ( ) 3l5 - a S 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall '/ ' 0"--- Fire Sprinkler i — Fire Alarm Susp'd Ceiling ye/7 , Roof t Other: Final j - PASS PART FAIL PLUMBING Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: El Unable to inspect – no access Fire Supply Line / ADA Approach/Sidewalk Date )6 Inspector th Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL J CITY OF TIGA 24 -Hour , ' Inspection Li :13) 639 -4175 0111111111.11MINIK_ I DIVISION Business (.14 639 -4171 • BUP Date R uested 1-L • AM � 4(z PM BUP Received � Location / � 00 70 41--k � Suite. MEC Contact Person ..... Ph ( ) 95 -. 020 G, PLM Contractor Ph ( ) SWR BUILDING . Tenant/Owner ELC Footing ELC Foundation PLSS Access: • ELR a. Inspection Notes: t•I fi SIT • L . & Beam Shear ar Anchors -F Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ' Fire Alarm Susp'd Ceiling tJ Roof Gv • Other: Fi. PART FAIL PL ' BING Post & Beam Under Slab ? Df� Rough-In Water Service • er f �T Rain Drain a / — G // rl a c :asin /Manhoe Storm Drain 1 Shower Pan (�.��� G�••" Other: Fi - A •ARTT/ FAIL 6 HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -ln UG/Slab Low Voltage Fire Alarm Final [] Reinspecction fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect — no access SITE � please call for reinspection RE: Fire Supply Line ADA Date ? Inspector \� Ext Approach/Sidewalk Other: r: DO NOT REMOVE this inspection record from the job site. Final CITY OF TIGARD 24-Hour _ BUILDING Inspection Li 4175 de d170 3` ado.)---TO INSPECTION DIVISION - Business Li 639 -4171 / ).o o BUP Received Date Requested RA AM PM �� BUP Location " I-zoo -- 2/04 , -- Suite MEC Contact Person Ph ( ) 2.S' 90. , PLM Contractor Ph ( ) SWR Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: // 11 S 1 -S SIT Post & Beam 1 Shear Anchors Ext Sheath/Shear Int Sheath/Shear (N (A" h-4-e C. nsulatio a - 1 s=4"- S� J 1 ` �= Drywall Nailing - - Firewall Fire Sprinkler - �� \ � t"P Fire Alarm f4.. Z-0 R Susp'd Ceiling Roof - 1/LA — A 6a , Other: Final ..011 _ 1 I _ 4 - �_ AS�S�ART �� @� _� P Post & lab - T - ¢t � T� - ' i M , \ri� Unde lab a • ough -I �a er Service ■ �� -' 0 �-' ./.... - a'�, Sanitary Sewer -- • k)1V i --4 + C/■- 4e s '1 , Rain Drains Catch Basin / Manhole G s k _� s (�- S �e to 5�,� � Storm Drain !"' Shower Pan 71 ,Z11 j e J `- 5 Cdt‘ S Other: Final � L WK ev_,,,,g , PAS ART pi _.. 4...e. tju_ki„....sze...e si\d1/4.z C� I CAL 2) ,..k..4....;$ S' c..... I Q Post ..'-- --am I A I � J e "'CT : 7 k/-) V . Gas Line \ �� i N b -� S -f' e-,-. - P�J'U Smoke Dampers Final i'v, ckf.A.,)__,..e j f ' S PASS PART ELECTRICAL _�_ _ ■ ( & Service Rough -In f %/■ kf ■-- Low Votge `JeNv' " • vty�� `2 'lZ� 1/. ' (WO Fire Alarm l) •A ) Q J C /�� Final 0 / Reinspectio n $ �) require before neiins ectidTf Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reins ection RE: ❑ Unable to inspect - no access Fire Supply Line ._ , _.... ADA \ b b Approach/Sidewalk Date I nspector Ext Other: Final DO NO REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD - 24 -Hour , BUILDING Inspection Line: (503) 639 -4175 ro INSPECTION DIVISION T Business Line: . (503) 639 -4171 `0 /� a BUP Received Date Request d . AM PM BUP Location "I ?O 0 ® /C Suite MEC Contact Person VZf" ".)--..,+,". Ph ( ) 2-Y " 9 PLM Contractor Ph ( ) SWR eIll Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: /` 1' 1 —S SIT Post & Beam Shear Anchors Ext Sheath/Shear - - . --- Int Sheath/Shear C Cnn C\_ "-g --e / i ns ula 11 ✓ �.�CA . Drywall Nailing Firewall 7.\*) C.06 er ` cV 4. . -" Fire Sprinkler Fire Alarm ' - %- - Cv•— 1-1 "-- Susp'd Ceiling Roof C„ -- - 1 . Other: Final ► - S v-- Qa_A _ U■.) - J PASS - P IGM NG ART r r - P eir. k._ ---j , Post & Beam rkty 70--vt_c_p_r slA _.." Und- ab ough -I � S -\,.....,..) 4 a'er Service r 0 '� --�llA ��''- a- r`- �'- `�'t,�( . Sanitary Sewer , ,i -- 4- C� 4 S Rain Drains � Catch Basin / Manhole /11 S �� -k Y 3 Cv\ � s se- a s e ,,. \ Storm Drain X" Z ^^ _ Shower Pan ,71:5' ' l 4 1 _/ _-_ 1'_ S c>'\--i4 $ Other: Final . p Q , PAS P (� ( _ r CHAM ART AL ) V Yom -, S ��c Post : _ am P ^` - "4 �3 + :0u• - , Gas Line ►t j � M i ___ 11-1:. s ÷ L � �'J U. f Smoke Dampers ' , Final 1 PASS PART A t 1 C�. 9 . ( � l_Q4--4e ) 6 C\-eft ELECTRICAL �>� (_ &4 A- ` -• _ Service �/�y � \_, r ' - Rough -In 1I ji'ir-�.� G'V�,/\ I J\ v,.�] / • ' J UG /Slab Z . �, ✓ ' I - ' -. t/1 ur �-- , (4_ \)0.A ' CA/j) Low Voltage eirNA Fi re Alarm J /CJ Nl :+ !/Ol.i'` Q� ' f , Final Li einspection fee of $ require afore next ins ectio Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL - j SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line 1 4) Approach/Sidewalk Date h' b Inspector Est ADA Other: Final : DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 — o d aSa INSPECTION DIVISION 40" Business Line: (503) 639 -4171 BUP Received - 3 ` p Date Requested AM PM BUP Location F -3 Uv 7/) Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing s 44 .S — r 9aD(o ELC Foundation Accesv- Ftg Drain ( 071'0/A5 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Sh Anchors Shear Int Sheath/Shear L- ' ci oi ye cif/0v- f 7 EA jam: nsulation Pc./ 41 / — — 4 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: A Othe 4.4 .1, PART FAIL Post & Beam Under Slab Rough -In Water Service ) Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab • Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspe tion RE: ❑ Unable to inspect - no access Fire Supply Line ADA 6' Approach/Sidewalk Dat ( Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD .- 24 -Hour BUILDING Inspection_ Li. = 3) ; 39 -4175 MST 3 � a s INSPECTION DIVISION Business .0 639-4171 BUP Received Date Requested �l — AM PM BUP Location q-3 0o 70 - Suite MEC Contact Person -.-s Ph ( ) ' 95 %l0 c PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation p6S Access: ff...arc ELR ciarg Inspection Notes: GI SIT Beam Shear Anchors ` f�/ _ /_ _ 9 I Ext Sheath /Shear / La-(' /'l�0 TlJ w'L[.K.- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceili� Roof Other: PART FAIL PL ' BING Post & Beam Under Slab 7 D(0.-" 4 " ) I gh-In Water Service Sary ewer Rain Drain a c asin / Man o e (/ , c ( • Storm Drain Shower Pan 1 ' • Other _ Fi AS PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line n/ ADA D , / l �S 3 Ins ector �/ c �t Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 -b o SO • • INSPECTION DIVISION - Business Line: (503) 639 -4171 - BUP Received Date Requested – 1 — 9 AM PM BUP Location R .300 1 D A-0-e. Suite MEC Contact Person Ph ( ) ot4 1 ° ( e PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC o ing ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear Framing & C A d Lam! S .� � Insulation , S u ,4 C64de_ -40 .fir S,- S Drywall Nailing Firewall Ag Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin PART FAIL P ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: D Unable to inspect — no access Fire Supply Line ADA Date Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL