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Permit CITY Y OF TIGARD MASTER PERMIT iiiik. PERMIT #: MST2004 -00138 Ajtiti) DEVELOPMENT SERVICES DATE ISSUED: 7/27/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09403 SW 74TH AVE PARCEL: 1S125DB SUBDIVISION: PP1990 - 008 ZONING: R -4.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: Addition of 584 square foot accessesory residential unit. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 15 FIRST: 464 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 120 sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 53,961.60 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 584 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 0 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 00 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: . 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FOR> =225 A: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: . FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 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: $ 1,346.92 This permit is subject to the regulations contained in the ANEY, WARREN WJR +A JOYCE OWNER Tigard Municipal Code, State of OR. Specialty Codes 9403 SW 74TH and 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. Phone: Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Crawl Drain /Backwater Electrical Rough In Gas Fireplace Mechanical Final Footing Insp PLM /Underfloor Framing lnsp Insulation Insp Plumb Final Foundation lnsp Mechanical Insp Shear Wall Insp Firewall Insp Final inspection Post/Beam Structural Plumb Top Out Exterior Sheathing Ins E Rain drain lnsp Underfloor insulation Electrical Service Gas Line Insp Electrical Final I Issued By :' ,,L4 J i.l 5 J Permittee Signature : � . t . � IT Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day R cE \Jto . Building Permit Application 4 � 0 0 � -. � '' FOR. OFFICE,, USE. ONLY °r,; t .. C1 F -"GP' RE!iew { Pemut No. * ,� QQ 0 0 D V �.� I31 � yi /1 �� 3C� a SW Hall BlvdTigard, OR 97223 G II: Phone: 503.639.4171 Fax: 503.598.1'311 -p �'�a'd 4 Q 't � � '�� Date /B : Other P- . -ut: Inspection Line: 503.639.4175 - Al I Date Ready /By: El See Attached Checklist for Internet: WwW.ci tigar .onus / Notified/Method; ! Supplemental Information — i ^e+ r r a s°'S a • 3" i u�� i Nct"fi" w' r d z �'. ; "�*1. ? J ,� �.,..; , . It—t l l � .+Yi6r ry�i\ ° z c ` rfti t TYP E i OF ,WOR , fit ' : t V REQUIRED DA 1 AND 2 F ,: YDWELL;ING 't . ... t -:.r m,k- �r .. tp. "t-, 4 llf:a ., + ,�„ , U,.:,- gym., N,11 6s s x4 ..T; Nii , -t - , u. _. ,i r,4 =s ;,.,. , ,,, . _ ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. - Indicate the value (rounded to the nearest dollar) of all gAddition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the t ,,, ,.�, , s z t s , t w $ t �, „ r t l work indicated on this application. t^' � i 'lt� 4 CATEGORYOFCQ t, . t t r »d °°�, p � .� x �,t.,.._t'r �,t PR9 .�7n. i �. � . Valuation: � r" -' ��,$_ a�ul: � ll - and 2- family dwelling ❑Commercial /industrial , - — — Number of bedrooms: if E Accessory building ❑ Multi - family El Master builder ❑ Other: Number of bathrooms: a r B w h ; -4 r ir. t , ' � ` Total number of floors: t 1 M.,4271- + k n J INFORMATION AND, LOCATION tt k fix y 1 i w-, $, Job site address: 940 3 5 4 X4-kil Ave. New dwelling area: 5 square feet City /State /ZIP: - ['i 9atrd , oR 9 2 22 —9439 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: rr,, Covered porch area: o square feet Cross street/directions to job site: C eda rc e.4 a Vd 4N Deck area: , square feet M s�ecoNoR Ar►vect,. oil i,yln�4- � , " . yo sou-1 �/ Other structure area: square feet end av ivewat� (Clay Io ��k e T ;n 1 REQUIRED DATA C MI� RCIAL USE CIIECKL1STa . . J �,�,.:.. -air ..� ... �.x -- � F .� ....i+ �,,,a�."*, r'er .,.,� Pr w s ". �v�s� a - 's..:.,:�. ,.kE Subdivision: 1990 _ 008 Par ii i 4iw► Ptah 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.: W C TM is i 2 SD g -' 1 22.00 equipment, materials, labor, overhead, and the profit for the 3F `v ,. - t E : r .�- wv. ION k r er i - a ii, a ,r�� p ign -3 � sDSCRITT OF WORK , " , ,, , work indicated on this application. Valuation: $ Co nisl'c-4- a1. 1.4-_x3 5 . akitcheol re si den *'A l !An( - 1 - a a ee -' r -k , }fie prima tn' reziol atce Existing building area: square feet New building area: square feet tx tN 5 PROP « n tr , ' ... ,.,, ��, ,�,, T E NANiT, N,,,<;: 7 �' 7 N 6'+a'Y , d ,4 , t f� _ 5 �4 (�q� ? Number of stones: t',�,fs� °u';'.� �� . @. ,€t., r,..a, a„P�' � �, fir,. � �:�.t� _ u�` a� , . Name: WaY'11SM \N . a in4 A .J ,Aney Type of construction: Address: 9403 s V&) ?44t ,4- j ? Occupancy groups: City /State /ZIP: - "rig au-4, Q Q 9 ?Q.2.3 Existing: Phone: (5 24(,— $ C. 4 3 Fax: (6b3) ,246 -26.05' New: 4, '; ik` i.iit CANT g z �3 " i to a CONTACT h`� r = .. , NO ;.c Business name: All contractors and subcontractors are required to be .r `-' licensed with the Oregon Construction Contractors Board ,! Contact name: Y` arren tlY . Aney under ORS 701 and may be required to be licensed in the Address:. 94 0 3 5 VJ 7444 Ave jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: T' a oz 2 _91/s- apply: Phone: (47:33),24( 3 Fax: : (5 2d46a -Zt:oo S E marl a� @ U S, qtr ^ r' d` z, `r r Y''K+ ✓ ""•ll ,,',� ff y5 ✓, d . 3 .ems"' "°r'S gqr { { r t ( t'I 3 r a r r l iii 1 t t�CONTR * a t '"" ' 4 fi fi.�is� z� � "�t,.6�,�,tF`,„<'aw, f � I„a+�..r.; - ..�a�,� ,. • � a .'.t_ ,� � . , 7 ,., � .� ,. rA Business name: t ' " BUII:DING PERMIT FEE Address: Please refer to fee schedule. City /State/ZIP: Fees due upon application Phone: ( ) Fax:( ) Amount received CCB lic.: Date received: Authorized signature: � 41- . /. /' i � 1 , �, / This permit application expires if a permit is not obtained W . within 180 days after it has been accepted as complete. Print name: Way-rein W. Av e, Date: 22 A 2.004. * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(1 I /02 /COM/WEB) A One- and Two- Family Dwelling BUildin2 Permit Application Checklist FOR OFFICE USE ONLY . -City of Tigard Received Permit No.: Y 13125 SW Hall Blvd., Tigard, OR 97223 Associated pennits: Phone: 503.639.4171 Fax: 503.598.1960 Ativillolli I ❑E lectrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 .II Internet: www.ci.tigard.or.us . ❑ Other: o . '" ' .THE`FOLLOWING- 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. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ L 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- ❑ ❑ R` 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 br on a separate full -size i.. . 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 0. ❑ ❑ 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 .ro'ect under review. . 1 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 and 22 above. - ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\Building\Permits \One - Two- FamilyChecklist.doc 12/03 ■ Building Fixtures RECEIVED Plumbing Permit Application FOR OFFICE USE O p £ 2004 k . City of Tigard VAM Received 13125 SW Hall Blvd., Tigard, OR 97223 RD Date/By: Permit No. 5n� so -0, bag /1 F T Plan Review Phone: 503.639.4171 Fax: 503.598.1960 CI uat aU A. Other Permit No.: 24- Hour Ins ection Line: 503.639.4175 ; ! fi ■ �� ,Plan Review J uris: P B L Ly11 1. Ready/By: Date ReadyBy: O See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �. `: '. ?S. � "s^ - .::.; �"`b"3`.z.. -. ii'.." ..3. b a` H. H , h '. Y ry ,�� - 'p F d .sa'35" aG �.: s"+.�,s^�g'"m"�t Y i +r +.". i x'51 d ' r„ Y` ,. s .: M a =l „ e '.�^a�. x R r s VRA t * �, p �* .. ` �� TYPE OFi WORKS 1 FEE SCFIEDTJLE, - - ��.��. ��, . , �.� ,�>� P�. +. ?,.�.M . ,:. ro„�lz:r%",'.�urt,..'� ..:...rr 't_"�»":.:..�. �e.. r' �'�'��:., �`�. � ...e.;�i: �..ar...!s -�.�� '�� s�.,�.ba. ir ,r ,.c.�.. � .,.. . ... ❑ New construction ❑ Demolition For special information use checklist. Description Qty. Ea. 1 Total 2/Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) g„Mt,. a,, T x a'.�. -s- F �a ss's i3� ''.�-'*' , rs' inx J '� i7 CATE�G OF ,CO��TS1 Lt % CT ®LY fy„y r , SFR (1) bath 249.20 �1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( , sq. ft.) Page 2 dit, " , ' Mil A JOBt4 r E INFRA T(ON At D LOCATION ` ' Site utilities Job site address: 9403 5 7-4'14 Ave. Catch basin or area drain 16.60 City/State /ZIP: "r j 9ayt ,f . 02.. 5 -913S 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: CPA arcreJ4 21k6l 74444 Ave. Manholes 16.60 S Q , SeCOV■A driu a Way 01A r1:4 k +, e(A& Rain drain connector 1 16.60 �rt (Pal ' Sanitary sewer (no. linear ft.: ) f Page 2 Storm sewer (no. linear ft.: ) O Page 2 Subdivision: t 9 9O _008 pa Ai 04 p la} l Lot no.: 3 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no W G' 4 1 S 12. 5-De 122 00 Absorption valve 16.60 k ' � ION r 1 � �, � � n : 3V iy Kiri le n P tOf * ® r J t "'� "`. y 1. �e� f;� � � � � � ,,.: � � a .�� ara >_•,.�:v "a, . .,��s. ,� ,�,� .�. ,.. .. . Backflow preventer Paget � Y H a 14 x 35 - aacLecl. resid&id- a I Backwater valve 16.60 LAM 14... Clothes washer 16.60 Dishwasher / 16.60 4t r ., ,moo o . u �� Drinking fountain 16.60 >, PRORFRTY OWNER;* � I 'r a ® IT E N.A T v_ ,=,Yr,,.., t .xs,�.�4, k - -.s... - ^ Ejectors /sump 16.60 Name: 1N a mein \N • 2 A . Joyce AY J Expansion tank 16.60 Address: 94)3 Slot) 741(4 AVe • Fixture /sewer cap 16.60 City/State /ZIP: '•r• %. 9. a � , )) 012 9 7z � _ 91 j� j Floor drain/floor sinlc hub (• 16.60 Phone: ( z4t -Sfp Fax: (313),2 -26OS" Garbage disposal 16.60 r tta V .AP ,44,xTfier illiMi �� : CONJ'ACf"`PERSONlr i Hose bib I • 16.60 n� i r..> 6R " .. ,.. ...� f :..ea: � •il4,0 ... . + At,k,440,, •f, t Ice maker f 16.60 Business name: Interceptor /grease trap 16.60 Contact name: T \N • A n Medical gas (value: $ ) Page 2 Address: 9403 S W 74-41A Are • Primer 16.60 City/State /ZIP: 7931,..A O 2 3 - 913 $• Roof drain (commercial) 16.60 Sink/basin /lavatory 2 16.60 Phone: (503) �4(o -86 (3 Fax:: ( - abc5 Tub /shower /shower pan I 16.60 E-mail: 2ntl Oe u sa net Urinal 16.60 �"COtNTF'A�CTOR v - g ;14: . .e , `. l kill a . ,114 . . a� c,� s�•0, . r , ., r ," - m ° m i x tt Water closet 16.60 Business name: Water heater ( 1 16.60 Address: Other: Subtotal City/State /ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: 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- PermitApp.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: 1, t Tiee (eat Total alt.Le'Utillt>e� a, Q y , g4uare Footage Perrnrt ee ,. ,. Footing drain - ls 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 s •. l co $5,000.00 n Permit ;Fee. Storm & Rain Drain - 1st 100' 55.00 lllatT „ 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 Y U2 e 0 1( In M Q Y v Avg vo w Tofa1 additional r or 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 in $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • • • Fixture Work: . Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . A ? a b (Fixture) ork`Perfo ` . . Fixtu Type `i Quntit A lms tRptac ee . §° ts , e .. E sn g fl , Capped Comments regarding fixture work: • • Baptistry/Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru • Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic • Drinking Fountain Eye Wash Floor Drain /sink - 2': • -3 „ - 4" Car Wash Drain Garbage - Domestic Disposal -Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. • Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal — Other Fixtures: is\ Building \Permits\PLM- PermitApp.doc 3/03 Mechanical Permit Application , • ;FOR OFFICE USE ONLY City of Tigard , ; E ; .„. PermitNo.:14STo90O DO 13$ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Osiarulio ` i t Date/I3 : Other Permit: Inspection Line: 503.639.4175 , jI 4 I : { � �, i9' ]uric. Internet: www.ci.tigard.or.us Noti y y' S See Pen l for g Not e. ethod: Supplemental Information CITY OF TI i . • � � Pi `a 'I'YP & aitwa R � s t t Nporm ) g COMMVIERCI L FEE* ? SC HE D UL E USE CHECKLIST`' ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 4 �g C, TE'GORY OF GONSTRTJ,CTI,1 3 ' 3"" ;1'�.�: R Value $ ,�.�/ l ` 'RE SIDENTIAL`EQUiPMENT / SYS TEMS FEES* LJ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building '" W "° For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total 1. A� 4 1)4311TE I I; lq ,I 2 •V i Heating/cooling Job site address: 9'403 5 W - 4 4+t Ave. Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: T l 9 ?.�Y"a, OR_ 9 7 2 2 3 -913S- Fumace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: 1 �7 Gas heat pump 14.00 Cross street/directions to job site: ced c a- ee , ` a y� T 4a Duct work 14.00 1 ) • Hydronic hot water system 14.00 SO<.. Kc) cJ.. , seco veLa.y on rgIn-i' Residential boiler (radiator or � rr ✓ - hydronic) 14.00 eve t dlrl veway T� d9 IO �, Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 2- 10.00 Subdivision: 1 �o -Qo$ PAy+. PIS} Lot no.: 3 Flue /vent for any of above 10.00 8 Other: 10.00 Tax map /parcel no.: W 14 iS 12. SD 8 - 1 2200 Other fuel appliances t. , , ` <} . DES R , IPiTIO' +5 Wa b z ` `'' x ni g 5 1 1 Water heater 10.00 zr,: A xi.w,A ri . t o itin gum . u ,� --7s ; is t . `At.3w.e :` Gas fireplace 10.00 COVta a. 14 x 35 . aka c iec� resid&K Flue vent a l foe gas for water heater or as Loft i-1- fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 r t P `� R OWPT ` IN a� r` t * �.� PUN Chimney /liner /flue /vent 10.00 Other: 10.00 Name: W arr W . E. A. Joyce Ayl ey Environmental exhaust and ventilation Address: 9403 g 9-4* ange hood /other kitchen W Ave e . equipment 4 10.00 City/State /ZIP: 1' ,:q a rat , 0 Q 9 7-223-91 3 5 Clothes dryer exhaust 10.00 ✓✓ Single -duct exhaust (bathrooms, Phone: ( 3) 2_46, - Sip ('l Fax: (' 3J 246 toilet compartments, utility rooms) 1 6.80 r I ds a ;' AP�PLIeAVIT e6 . . ` I�3? x ex al Attic/crawlspace fans 10.00 ., ,a, :,,., ,. .,� , l , . CO ?, „PERSON 1 4 p Other: 10.00 Business name: Fuel piping Contact name: a rrp.,n W. A ' / $5.40 for first four; $1.00 for each additional `-� Furnace, etc. Address: 9403 5UJ 54`itt Ave. Gas heat pump City/State /ZIP: " (' t5 arc( t Die- 97-22-3 -913 5 Wall/suspended /unit heater Phone: ( 503) , Z 4 6 _ 8o i ( 3 ) 2 - , Q Fax: : a ,Q5" Water heater Fireplace 1 E -mail a hey visa vi Range pi c E „ Oa . ,i i 1 Barbecue i.. e ._ ` C ONTRAC ' );O R ,� � : = 'h i " s..,x ,, ,E , .. .016.4' .. + ?. .�^, _ axas,rw�..,.. . ue. #. ,ts.,'Y � W e, .�. x... aa s aa's Business name: Clothes dryer (gas) . Other: Address: u � «�, MECHAI TCA irrArFWEEW City/State /ZIP: Subtotal Minimum permit fee ($72.50) -2 ,5O Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) 5 t eO TOTAL PERMIT FEE 9 , 3 O Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pemvts \MEC- PemtitApp.doc 12/03 440- 4617T(11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: faits autan ^ „ I Per t Fe x a .1 • . 1. . $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. ., $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or • . fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD M 5Tj LJ oV / 3� 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAICHART ELECTRIC 4920 BRIDGE FARMER RD GASTON, OR 97119 Electrical Signature Form Permit #: MST2004 -00138 Date Issued: 7/27/2004 Parcel: 1 S125DB -12200 Site Address: 09403 SW 74TH AVE Subdivision: PP1990 -008 Block: Lot: 003 Jurisdiction: TIG Zoning: R -4.5 Remarks: Addition of 584 square foot accessesory residential unit. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: ANEY, WARREN W JR + A JOYCE RAICHART ELECTRIC 9403 SW 74TH 4920 BRIDGE FARMER RD TIGARD, OR 97223 GASTON, OR 97119 Phone #: Phone #: 503 - 806 -6519 Reg #: LIC 150440 ELE 34 -587C SUP 4602S AN INK SIGNATURE IS REQUIRED ON THIS FORM XC41 Signature of Supervising Electrician If you have any questions, please call 503.718.2433. Electrical Permit Application FOR OFFICE ONLY : ;. City of Ti and -/ 1 - , - ` g - : PermitNo.M5J _ 1 ` • 13125 SW Hall Blvd., Tigard, OR 97223 t':n Review Phone: 503.639.4171 Fax: 503.598.1960 M AY GH,'Nl�l � ' Date/By: Other Permit: �� f J_!J j Inspection Line: 503.639.4175 C [ JJu. 8` _ Date Ready/By: furls: See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental pp ental Information a UP T ?�,, Ste` : a lT W9RT{ +Y rJ '� a smog.thu ' . PLANS REVIEW ' El New construction [ I ' Addition /alteration/replacement S 1QN Please check all that apply: El Demolition 111 Other: ❑Service over 225 amps, comm'l ❑ Hazardous location i s ❑Service over 320 amps — rating ❑ Buildn over 10,000 sq. ft., r Y � r Z . , 7 1 7 ,1; ezeiGoTV OF� CONSTiR U CTION,, 1r ,...... t li of 1- and 2- family dwellings 4 or more new residential E l and 2 family dwelling ❑ CommerciaUindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi - family 1=1 Master builder El Other: ❑Occupant load over 99 persons Manufactured structures or d 4..rr . $1J s JO$ISTTE INFORMt1TION'2 D LOCATI61 x „ V ❑ Egress/lighting Plan RV park Job no.: Job site address: 9403 SW 7 Ave , ❑Health - care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: 1 qa r-1 O R 9 /.2 23 - J p , 1.3 5 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: 1 Project name: M P' hE. $" r FEE *,SCHEDULE , . ' Description Qty. Fee. Total Cross street/directions to job site: cock arch 4 a ,� ,4 ., New residential single- or multi - family dwelling unit. ,, Includes attached garage. SL°C cLrivet. J6 io eue3+, am( 63 L( Lot no 4rt (47 bi) 1,000 sq. ft. or less 145.15 4 Subdivision: ��. — 0 (Jg Par% ' 3 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: WC t S 4 25 D g � 122 Limited energy, non-residential si 75.00 2 � � , �£ � � � x ��, ,�,, . � �� f � � Limited energy, non - residential 75.00 2 �a. :t - DESCRIPTIO N , OF WORK S.,- .. , �... 2 � .. E ,;a . _ . , *,, .:.. ,ar ll t1_ ,_, I r , _ . Each manufactured or modular 4 . Aect re.ria a Ia 1 dwelling, service and/or installation, alteration, and /or relocation feeder 90.90 2 e_ortzi-rue4- a 14-x35 Services or feeders insta MIA' 200 amps or less / 80.30 2 ' PROPERTYr OWNE �z , 1i " f 1" S1i1 M 201 amps to 400 amps 106.85 2 SNMY ' "` 401 amps to 600 amps 160.60 2 Name: Warren W. € A . Joyce Alney 601 amps to 1,000 amps 240.60 2 Address: 9 40 3 S vJ 74444 Ave Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: T 9 av-A CR "7223 - 91 35 Temporary services or feeders installation, alteration, and /or Phone: (5D3) Q 4 — g(, t 3 Fax: (9 3) 244—,21,05- relocation 200 amps or less 66.85 1 • Owner installation: Th instailatio,,- eing made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, le -nt, or eat, according to ORS 447, 449, 670, and 701. MI 1 401 amps to 600 amps 133.75 2 Owner signature 1' It t Date: 23 A pr 04 Branch circuits — new, alteration, or extension, per panel i4WAiNT - Ai i ' RSOY r t l A. Fee for branch circuits with . ." 1 . , �. w. r ..�t , a a�.. a�� 0�� 0 s `p ._. r '� � Iw�,� service or feeder fee, each / Business name: branch circuit / 6.65 2 B Fee for branch circuits Contact name: w a1( reh e s/ *I • Ay without service or feeder fee, 4A^ , each branch circuit 46.85 2 Address: /40 3 SW F41_4j,I Ave . Each add'l branch circuit 6.65 2 City /State /ZIP: ,{ �lg ate, O 2. 9 7- 223 - 9. Miscellaneous (service or feeder not included) ( L t ) Z4 , Q cv j 3 Fax: ( O 3) 246 � Pump or irrigation circle 53.40 2 Phone: �vJ - U 1r Sign or outline lighting 53.40 2 E an/ Usa 1f'e '° Signal circuit(s) or limited - 'I "" �C®N )2ACTOW € ,.. ,.- energy panel, alteration, or extension. Describe. Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above �n , Per inspection 62.50 City /State /ZIP: Investigation per hour (1 hr nun) 62.50 _ Phone: ( ) Fax: ( ) Industrial P lant per hour 73.75 P ,. MM /ELECTRICAL, PERMIT EES ;F Y . CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: �.� J.��1 A�,1 Date: State surcharge (8% of permit fee) t �� I �/ TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. , i:\ uilding ermitsLC- PermitApp. doc 12/03 440 -461 ST(10 /02 /COM/WEB B \ P \ E Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RE'SIpEWOOV aR.La. o vtlY V : AI _�I P .1 3 t Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* • ❑ Other: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation • HVAC n Instrumentation • • ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is\ Building\Permits\ELC- PermitApp.doc 04/03 �_it- _ 21!i.1�. :_ �22M- °_ � L A '4111-22 `'ER` C` 'I il, � 'l 2 �� .._�� G1� MAY 4 2004 CITY OF TIGARD File Number yaTC CIean\ater Services BUILDING DIVISIO Our co91111919I ,c,i1 i..9 clear. Sensitive Area Pre -Screening Site Assessment Jurisdiction C'i1y..ri'sar Date grill aOQ 4 Map & Tax Lot WC'f'M is 11SDIb d# (Iwo Owner 1 .1W . 4 Joyce Site Address 94 s *I 74 Ate, _AN '1" ;Larvi c>/t. 974.23 Contact ___ +r+av Proposed Activity -.. -- cAua±ada siA. Address 9 A 0 3 S Vti .?nth r_ . A2Fc.r3`va3 R sipl iki Ti9.2pA tO `. ` UV -- - _ Phone ‹Saill 2.44 - 131015 fix .2 96 - J6o ,' Sab�S1s9 -lao9 Ccrt6 O1➢loid We Only bebw this tine Y N NA Y N NA Li RI r --, Sensitive Area Composite Map Stormwater Infrastructure maps M # _ / 4 4.22 p - L� �7 a s # — �a ri r i Loud!) adopted studies or maps ri 0 Other 1 Spe fy 111.1 Specify • Based on a review of the above Information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: Li Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. f el Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered on your -- t+rwwn►#f, _!t/'t -Pt tw•tr..r inv.... -- - ---- - -- - - - - - -- -- Permit #: ®`t — c 9 OF O A �' Address: q ( 4d 3 SL /�-� II i `C r - , s� bid . Z '9 Issued by: P Date: 7 .27 D r �/85 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: if iv" 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale �; before or upon completion. n 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 P ri/ 1 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 ce tify that the above information is correct and that I have read and do understand the Information Notice to i opert Ii s about Construction Responsibilities on the reverse side of this form. At .Al .:�. L•� .2-1- Ja oo4 (S fature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) lInif'ovrimUon HoUce o Primperity Owneva -• ./Abma GonsVueden ResponsrtHEdes 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 :nake a substantial improvement to an existing structure, you can prevent may probleins by being aware of the following responsibilities and areas of concern. FERIPLMR R If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or irnpro of a residential structure, you wiil, ;n 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 withhol'rilmg tax ainn• As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-809E Unmployirneret insurance it. As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. Fo: i'ore information, call the Oregon Employment Division at the Department of Human Resources at 378-3524. Workers' corn pensatlorn Inr,.nmnce: As an employer, you are subject to the Oregon Workers Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your 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. US. Taterlaf.1 Reven76 SeT7 As an employer, you must withhold federal income-tax from employees' wages. You will be liable for the tax payment ever If you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. OT- BR MESPONSMPLM,f:S AMU AREAS OF COMCERNI: Code compflance: 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 if you have adequate insurance coverage for accidents and omissions such as failing 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 of rough-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, OR97309-5052, 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 #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 /0 41411111 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07Am PAGE: 89 SITE ADDRESS: 09103 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: kddititgror654 square a dcessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 9626 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 015214 -01 503-246-8613 N Corrections /Comments /Instructions: i.„...L / tfr --BASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Or -- --Inspector: �I72 Date: Phone #: (503) 718- , . 1 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 ztvtill'i Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 3 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: r dditioWof384 square foot accessesory residential unit. L. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503- 357 -9626 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 008412 -02 503-680-2030 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED. Inspector: tin Date: / (T Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2004 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 Az.61 INSPECTION WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 31 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990-008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 -357 -9626 Inspection Request Scheduled For: Date: 3/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 002720 -01 503- 660 -2030 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ad "Li l I Date: 3 J2yw 57 Phone #: (503) 718- CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST) LI' o /3g INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 3 �3 AM PM BUP Location 7h 3 79 zv` Suite MEC Contact Person (1 C- Ph ( ) 6 qi6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING o &Be Under Slab Rough -In Water Service �rl Sanitary Sewer 1� Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fina PART FAIL ANICAL 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: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date (3 /1 Inspector ' 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 MST 3000 -O �I3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested B AM PM BUP Location 9`1 ` 0 3 7 /q-uk-e -' Suite MEC Contact Person LZ.k3LAA Ph ( ) 2 '& — ?6 (� 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 Fire Sprinkler �` = AlEorier Fire Alarm Susp'd Ceiling Roof Other: • Final PASS PART FAIL PLUMBING - Post & Beam Under Slab Rough -In Water Service iaiyS Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PART FAIL ANICAL 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 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA h 172-- -q/)--/ Approach /Sidewalk Date (/ Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 111 if S B UILDING DIVISION PERMIT #: Iv1ST20Q4 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/70(14 Phone: (503) 639 -4171 A Ak 81! 1� Inspection Requests (24 Hrs.): (503) 639 -4175 ... W INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990-008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 7/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection • 033603 -01 503-246-8613 N Corrections /Comments struc . •ns: - ' re (2 !. I 1 -'c ''.( IC 4<j ii-j lciki O V . (24s--13 P mil- Jr'Q 4.---__ & _ ► •A L.- 1 Vi c-4.,-( itisLidi-,- 4s L k's - ,,, , . Teat /-e ham, t. (V ( L A II . , j p r/J ` / / //J _ , ,,,, .____,, PASS (1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS `, ❑ FAIL i ❑CALL FOR INSPECTION W n ADDITIONAL FEES ASSESSED _ 1 Inspector. Date � � Phone #: (503) 718 Y y 1 1 I' CITY OF TIGARD BUILDING DIVISION PERMIT #: MS'T1004- 00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27 /2004 Phone: (503) 639- 4171rbµ�iii 1ll Inspection Requests (24 Hrs.): (503) 639 -4175 =�� __.. INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 7:03AM PAGE: 40 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 - 008 LOT #: 00.E TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357-9626 Inspection Request Scheduled For: Date: 7/1812006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 033235-01 ,03-246.8613 Y Corrections /Comments/ Instructions: /------" Y pA i, V ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 7 FAIL n CALL FOR INSPECTION n ADDITIONAL , ES ASSESSED .-' Inspector: & I J I Date: 7 I . .I Phone #: (503) 718- . 11/1 '_ — , ' CITY ��U�� n n m OF � n��mmn�� ^ BUILDING DIVISION A0ST2n0�OD1J8 ~°~°"~.~°..°~" ~~.°"~~..=.° PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7I�7Y2001 Phone: (503) 639-4171 IA Inspection Requests (24 Hrs.): (503) 639-4175 ALI~ AL INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7 :NAM PAGE: 17 09403 SITE ADDRESS: 0 CLASS OF WORK: PP19B 003 SUBDIVISION: LOT#� TYPE OF USE: PROJECT NAME: A NEY DESCRIPTION: AtiarrtionmfG84 square foot oocwsaeomry residential unit. WARREN � OWNER: ANEY, JOYCE, PHONE #: BONNY CONSTRUCTION INC 503.357-9026 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7717Y2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 033179-01 803-246-8613 N Corrections/Comments/Instructions: i / - 4 l/tiJ`ur LC44-710 {^ott-S pi PA . �� PARTIAL �� AN�EL n �� NDACCES� F��u|L CALL FOR INSPECTION ADDITIONAL FEES ASSESSED / , / 7 M VS----- 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712712004 Phone: (503) 639 -4171 / 4 i iiae4M� y ��6� , i, Inspection Requests (24 Hrs.): (503) 639 -4175 ,.:=,• INSPECTION WORKSHEET FOR DATE: 11/3/2005 - TIME: 7:06AM PAGE: 6 e-Y�I SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 684 square foot accessesoiy residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: SONNY CONSTRUCTION INC PHONE #: 503- 357 -9626 Inspection Request Scheduled For: Date: 11/312005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020262 -01 503-246-8613 N Corrections /Comments/ Instructions: 2 x -0 2 -- _ z - a 1 ) 21z�z 5 /1/ •. _.n ...tom % • A - - 14FA .__Jt C �,1 �! • , et. r , . e" C--e__ 4 • • 1 SS ❑ PARTIAL APPROVAL l CANCEL ❑ NO ACCESS n FAIL u L FOR CTIO ' n ADDITIONAL FEES ASSESSED - j // Inspector: ` Date: - • v Phone #: (503) 7181 . CITY OF TIG�lRD � �TF1 10111 BUILDING DIVISION PERMIT #: MST2004 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 �� + ill ( 1\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 87 SITE ADDRESS: 09 403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990.008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503-357-9626 Inspection Request Scheduled For: Date: 11/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020052 -01 503-246.8613_ N Corrections /Comments /Instructions: / • / / ' Z -4 .Al / I 1 , i .. /.4,._/ . L I , / ` F % • L c p d/t4d /' i --- l jPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 ►, FAIL ICALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ► Date: 1 65 Phone #: (503) 718- CITY OF TIGARD ; BUILDING DIVISION PERMIT #: MST2004- 00138 13125 SW Hall Blvd., Tigard, OR 97223 ialiillifi■\ DATE ISSUED: 7/27/2004 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 4 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY _ _ _ _ _ DESCRIPTION: rAd�fitionof_584- square foot accessesoiy. residential -unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503- 357 -9626 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 008412 -01 503 - 680.2030 N Corrections /Comments /Instructions: 44 k )? 0 r ' id 2 4 ‘ r , ,/ ° (1 (12144 4 k L� , G1� SA tclitg dijz- I@ 2k;A.a,0 / //PASS El PARTIAL APPROVAL [j] CANCEL El NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -- 3 -- 65 Phone #: (503) 718- CITY OF TIGARD _.' BUILDING DIVISION � d�y PERMIT #: MST2004 -00138 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 iuflN�i� f i t Inspection Requests (24 Hrs.): (503) 639 -4175 -Jai' / im INSPECTION WORKSHEET FOR DATE: 3/29/2005 TIME: 7 :11AM PAGE: 68 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 --008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: Date: 3/29/2005 Pour Time: Code # Inspection Description Confirm #' Contact # Message 115 Electrical service/reconnect 003091 -01 503.680 -2030 N V Corrections /Comments/ Instructions: Nia 1 III io -rte ; `frt if1,4► -a"1. 7 yvv -0(4 hisi-x-A. Or ...... MN a•Lek c-iliut (304 1(0 rtYttojklitn` . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ( � l Inspector: 1/� Date: .� / sd Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: MST2004 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 i '/ 4 1 1 • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 628/2005 TIME: 7:09AM PAGE: 89 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 - 008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY - DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: Date: 6/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 010284 -01 503- 680 -2030 N Corrections /Comments/ Instructions: SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d Date,dS Phone #: (503) 718- I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 ,,,, � ill Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 6!23/2005 TIME: 7 :1OAM PAGE: 73 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR 4+ A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503. 357 -9626 Inspection Request Scheduled For: Date: 6/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 009968 -03 503-680-2030 N . rrections /Comments/ Instructions: , 1■....,. t2--d—A , " - __-5 (- - - - - .15-.(‘---4 , , rs dc 3 - - LsS % , -;)( 4 � �02.,_/- - s7 dt .- 6 LA s `k ❑ PASS A RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V() Inspector: Date: / - 1J S Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27120i14 Phone: (503) 639- 4171nrar�i�l Inspection Requests (24 Hrs.): (503) 639 -4175. INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7 :1OAM PAGE: 74 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990-008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY• DESCRIPTION: Addition of 564 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 -357 -9626 Inspection Request Scheduled For: Date: 6/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 245 Firewall 009956 -02 503-680-2030 N Corrections /Comments /Instr tions: ( N\-A-3 ---- S -- 11116ra.____ ___ 1 ' N-- 4...s a • ft tAnt \ /4 1 4 ‘--(42-- 4-ki ti L f. * ,2P SS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . c i - Z ... " Inspector: p Date: Le ( 2 Ph /< one #: (503) 718 - I CITY OF TIGARD. li h BUILDING DIVISION PERMIT #: MST2004 -00138 . ; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639-4171 b/fim /I/IJ iiipilf��1j Inspection Requests (24 Hrs.): (503) 639 -4175 :-' ':_... INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7:10AM PAGE: 75 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE : PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesoiy residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503-357-9626 Inspection Request Scheduled For: Date: 6/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 009958 -01 503-680 -2030 N Corrections /Comments /Instructions: mil -� - /2b /6 c (s) - 14 1 m. Ivj,__Q__r__Q e,—A 10,4 , 1 ,4; s , (24 ,4 --- (fk, AL 44v-e___) In -.Ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (14... �®J �/ .� Inspector: Date: " �:/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION Y PERMIT #: MST2004 -00138 di 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 ! / / / // Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/20/2005 TIME: 7 :11AM PAGE: 84 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990.008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, iz � a'3 -24 0 S PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: K 0 Date: 6/20/2005 Pour Time: Code # e Inspection Description Confirm # Contact # Message P P 9 / 235 Shear walls/anchors 007351 -01 503 -680 -2030 N Corrections /Comments /Instructions: kt o� Cv 6 e 2 oc✓- / , 5/4 „ 0 /0_,,,u5 , , :.- . Try„k 4,4k - Ji/ceav--- V / a-te ixe , , rwa, zi .... 4 kitli 0 1, �� r /o� / i / w , `GY" - ..T Wall) COLye u 6 o 444 /n/ w 1_ 14-O v; 662._ t ! ' ...I.' L err i /V r 7 L B Ye-- = /.L Dzt f Z i5 - PO k Lue _r� I FI. r ... 'I/ Z 1;- << Is. �� i i W . y -- — ei _ v.,4 C5 !tip c a n PASS 'TIAL APPROVAL CANCEL vv ❑ NO ACCESS IL ❑ CALL " la R IN �% ❑ ADDITIONAL FE S ASSESSED / s� ' )49 e 5 2-eilf- I Inspector: Date: Phone #: (503) 718 - j i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 billit,,,, D ATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 it „ ��'u4P��ii ' I � Inspection Requests (24 Hrs.): (503) 639 -4175 A INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7:11AM PAGE: 82 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990-008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: Date: 5/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 007352 -01 503 - 680-2030 N Corrections /Comments / Instructions: ASS ❑ PARTIA APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL OR IN j II ADDITIONAL FE S ASSESSED • Inspector: 4 Date:/ Phone #: (503) 718-o? .2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00136 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7127/2004 Phone: (503) 639 -4171 Adip Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME: 7:10AM PAGE: 14 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: , BONNY CONSTRUCTION INC PHONE #: 503'357 -9626 Inspection Request Scheduled For: Date: 6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 006814 -02 503. 680 -2030 N Corrections /Comments/ Instructions: S,, ��yr Wks n-- e";. /�� 7 .1 Ja 67 - ricivC 6 F /Al V /iv civt...4_. _ PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS IL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 5--` Z c,) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 i��.N4j�� Inspection Requests (24 Hrs.): (503) 639 -4175 _..' ' __a& INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 15 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP 1990.008 • LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503-357 -9626 Inspection Request Scheduled For: Date: 5/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 005814 -01 503.68D -2030 N Corrections /Comments/ Instructions: i 51. /kdo7- - 7 Vi c"6 A/ s "re — 31 ,oS' /t�� i L ,Ci2 -4 c. J ,4i v/ i LAJ S- n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3= Z ' Phone #: (503) 718- CITY OF TIGARD .. &)/' -; BUILDING DIVISION PERMIT #: MST2004 00 f38 ' 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7127/2004 Phone: (503) 639 -4171 !� � Inspection Requests (24 Hrs.): (503) 639 -4175 �. ':W INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 74 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503.357 -9626 Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 0055149 -02 503. 680 -2030 N Corrections/Comments/Instructions: �11'L e- -1�� --e-J -- ,rt,,,,,_,, 1 F7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL 17, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Vb (1-L. L-V 1. Inspector: Date: 'Phone #: (503) 718- CITY OF TIGARD r. BUILDING DIVISION PERMIT #: MST2004 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 /��w Inspection Requests (24 Hrs.): (503) 639 -4175 „is"- __ INSPECTION WORKSHEET FOR DATE: 4/2212005 TIME: 7:12AM PAGE: 75 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990 -008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls /anchors 0055149 -01 503-680.2030 N - Corrections /Comments /Instructions: L ,r 1'7\ c * . IP ./1 -- -1 -- 1 yy\,,, A__ 5; 0 e-„, cv\io.k ")(\4,JC 2--C.,vir- 7 - 1A--4-jr7 icirl A/ edkr‘ L 0 e-k_<=jV , , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Le AIL TALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ■ Vi; (/ - " Date: 14 / Z � " Phone #: 503 718 - Inspector: ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 � ��ipp iiipp 1 1 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 94 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990-008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 - 357 -9626 Inspection Request Scheduled For: Date: 4/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 004964-02 503 -680 -2030 N Corrections /Comments/ Instructions: J P1-<771-1 • JZ/�2s � i - r J <7) ❑ PA S ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS A CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: �'C Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2004- 110138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 s�� / 4 V ��ypu�jl� " Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 95 SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP139O -008 LOT #: 003 TYPE OF USE: • PROJECT NAME: ANEY DESCRIPTION: Addition of 584 square foot accessesory residential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503 -357 -9626 Inspection Request Scheduled For: Date: 4/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 004964 -01 503 - 680 -2030 N Corrections /Comments/ Instructions: k. IOW A. ' = - - - - T - ---- -�i • (-----7-1' i AY -,.=" / E 11 `" -444/ f - 29., -vL%L , ❑ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: MST2004-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2004 Phone: (503) 639 -4171 /'/I ' Inspec Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORK SHEET FOR DATE: 3/24/2►.$5 TIME: 7:09AM PAGE: 75 --- 174 - ye, C. panic- y SITE ADDRESS: 09403 SW 74TH AVE CLASS OF WORK: SUBDIVISION: PP1990.008 LOT #: 003 TYPE OF USE: PROJECT NAME: ANEY DESCRIPTION: Addition of 564 square foot accessesory res dential unit. OWNER: ANEY, WARREN W JR + A JOYCE, PHONE #: CONTRACTOR: BONNY CONSTRUCTION INC PHONE #: 503- 357 -9626 I Inspection Request Scheduled For: Date: 3/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 002626 -01 503 - 680.2030 N Corrections /Comments /Instructions: __�_- C �L/ JL zQ- - E i6;1 S /710 --7-64-7--- - z-/8 /)5 / I - 7 *TA PASS n PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED * 7 ele) Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (50 4 .39 -4175 MST oS d U 1 INSPECTION DIVISION Business Line: • 13) 639 -4171 BUP Received Date Requested g oZ AM PM BUP 111, 4 Location Ir A Suite MEC • Contact Person 1 J A :/ A Ph ( ) c 46 - S"w 13 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing cforlfMN Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: j SIT Post & Beam 6 I Q Q fell-C Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing t Pz 0 vthS vG7`1 l C / Insulation d1; /C /4-C�� Drywall Nailing Fire wall �^ 11 - Sprinkler �/ 'Fire S rinkler u v / -E14 ` =�`� Fire Alarm 6 � � L' Susp'd Ceiling Roof 4, Z-- ��l a� LC t� r m S A-7s ^4, Other: Fin,.^ �j/� �/�� -►- �lG �'"� �� S ° r= ft__/ S Mgr PART FAIL _ PLUMBING + PG r « sal Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • --�- _ e, e 5 Rain Drains - - Catch Basin / Manhole S 'r K 1 " 2 / 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 n Please call for reinspection RE El Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date 8 z- -( Inspector Ext Other: Final DO NOT REMOVE this inspection recur from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour // BUILDING Inspection Line: (503) 639 -4175 MST 6 °4 - 61 d /3 INSPECTION DIVISION Business Line: (503) 639 -4171 ,� BUP z / Received Date Requested • AM - I PM BUP Location 9 4P3 7 Suite MEC Contact Person 1, 00 Ph ( ) 8 ( .3 PLM Contractor Ph ( ) SWR - ' NG Tenant/Owner ELC Footi ELC oundation Access: Ftg Drain G� i-61 p e -, ELR Crawl Drain zy' i�2—/ Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear (� • (.....e.-\,---- -�le �O Framing , Insulation Drywall Nailing '� Firewall y t \ C-7 �`/ Fire Sprinkler � Fire Alarm ( ' . ' l 3 Susp'd Ceiling Roof ' i ` "g 3 Other: Final ( 1 a Der PASS A FAIL — 1_ �� PLUM Post & Beam �� / i t. �4� Under Slab %%%ttt �1 1 Rough -In Gi - -7 C ' / Water Service Sanitary Sewer f Rain Drains r Catch Basin / Manhole . �f�� - Storm Drain Shower Pan Other: Final 1A-Cg 6- 1" , -C..--Q C.....„",A---C1X-5---C--aP a PASS PART AIL MECHANICAL .' 17 yr Post & Beam Rough In Gas Line , Smoke Dampers Final ✓' i -e...S PASS PART FAIL ELECTRICAL V Service Rough -In `7 UG /Slab Low Voltage Fire Alarm i 7.._ f , - e --- _ ` Final El Reinspection fee of $ required before nexspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Kt V L f Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD _ 24 -Hour BUILDING Inspection Line: ) 639 -4175 MST g D O - U U 130' INSPECTION DIVISION Business Li (503) 639 -4171 �D BUP Received 1 • 3 ' Date Requested 0 AM PM BUP Location L 0 3 7 Li Suite MEC Contact Person l't- Ph ( ) 2 L iqo — ?Co 13 PLM Contractor Ph ( ) SWR B ING Tenant/Owner ELC 00 Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Ina Sheath /Shear Framing Drywall Nailing .01,1 �S �� Pct Drywall Nailing /V , , Firewall 11 3 -i z_ (r VziJG (z3 *'I Fire Sprinkler Fire Alarm N ere -..1- : SS Z_n ��4 T� e_ Susp'd Ceiling Fo a , - Other: - Final PL TGI� .z ,� �./�G-- l cy /� A PASS P ART PLUMBING t/r- IZ a= � A �� c /G Post & Beam Under Slab /FS /s °'7Z= - N 111 Cl'��itl�ZZ� -1'�� 1� 118F �3 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: ❑ Unable to inspect - no access Fire Supply Line ADA '� Approach /Sidewalk Date 3 , Ay, I n s p ect or �"� Ext Other: Final DO NOT REMOVE this inspection r ord from the Job site. . PASS PART FAIL