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Permit fi_. f^ '` /�y18 c7 G �Z. :„- (1 , 1111 a CIT OF �� ®-�J MASTER PERMIT PERMIT #: MST2006 -10034 COMMUNITY DEVELOPMENT DATE ISSUED: 4/13/2006 TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 12C D -00700 SITE ADDRESS: 15940 SW 76TH AVE ZONING: R -12 SUBDIVISION: DURHAM ACRES LOT: 001 JURISDICTION: TIG PROJECT: ZIMMERMAN Project Description: Remodel. 7/13/2006 added gas fireplace and outlet. Reinstated for 20 days for final inspection. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf .....z66-- REAR: 15 PLUMBING . I( I OOO - � SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < SHP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 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: 0 - 200 amp: WSVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVCFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 am ix EA ADDL BR CR: 7 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 AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable CHARLES & LINDA ZIMMERMAN laws. All work will be done in accordance with approved plans. This 15940 SW 76TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 317 - 9365 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 750.33 REQUIRED ITEMS AND REPORTS L. Issue = / a "„ • `� Permittee Sig ature : /� /, ,__P-- Call 503.639.4175 by 7:00 a.m. for an inspection that bui ess day. This permit card shall be kept in a conspicuous place on the job sito completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Ap, tl f ..:■ o` � , . . FOR' OFFICE4./SL'ONLY ° - :, . . Received / rR City of Tigard Date/B , c1,� v K. ��.,' Permit NOV\ S'Q x2/ / / / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� Phone: 503.639.4171 Fax: 503.598.196MAR 2 4 2806 ^ / ' � �u�l x'Ii`�° Date /By: Other Permit: ^ Inspection Line: 503.639.4175 V _� -+i __.. Date Ready/By: X Juris: ® See Attached Checklist for 1 Internet: www.ci.tigard.or.us ' Notified/Method: 1 \ 6• Supplemental Information B ` RDEgri1 IJ!S I N �/ / REQU D DATA: l- AND 2- FAMILY DWELLING • ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all N. Addition /alteration /replacement ❑ Other: equipment materials, labor, overhead, and the profit for the CATEGORY OF CON STRUCTION work indicated on this application. ea N 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ / S OD D 11 Accessory building ❑ Multi - family Number of bedrooms: • ❑ Master builder ❑ Other: Number of bathrooms: ' JOB SITE INFORMATION AND' LOCATION Total number of floors: Job site address: /5 6 5 1 ' 1 7(0 14 , iiE New dwelling area: square feet City /State /ZIP: 7'/ 6'44-6 02 9 7,{ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: 7(0 fd 1412- //4/+j , Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . ( / DESCRIPTION OF WORK work indicated.on this application. 12407 C 676//) 45 / /V G /✓ /eA �m � ////4/1 LodA Valuation: $ 7,4_k 0 es 7 / WA L C 1 NEal Pd 2-c-14 Existing building area: square feet New building area: square feet . V PROPERTY OWNER ❑ TENANT Number of stories: Name: d></4 /2tES L i /V 4 /{n m /CY/744V Type of construction: Address: / J 9 9 S w 7('u 4V,' Occupancy groups: City /State /ZIP: 7'/t Q 2 g 7,� j Existing: Phone: 60 ) �j / 7 - g 3 4, J r Fax: (c& ) 4' j — /3 3 9 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the • Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: CONTRACTOR Business name: M.01 BUILDING ,PERMIT FEES* Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application / ` Vd,: 4/ Phone: ( ) Fax: ( ) r � Amount received ) - /t2 L/ ' CCB lie.: Date received: /y Authorized signature: ✓ / — This permit application expires if a permit is not obtai within 180 days after it has been accepted as complete. Print name: eill4RGGS � /? 472 / Date: ? 67 * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- PennitApp.doc 12/03 440 -4613T(1 I /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE OW' = City of Tigard Received `r Date /By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 ,,� 1 •:,A 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical • Internet: www.ci.tigard.or.us ❑ Other. T HE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW \'es , .iNo. `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: ❑ ❑ ❑ .1 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and Spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. • 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate 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 Ore .on and shall be shown to be a, elicable to the •ro'ect 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 1 I" 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. 1:\Building \ Perm its \BUP -RES- PermitApp.doc 2 I Electrical Permit Application, FOR OFFICE USE ONLY t U t I V r Received City of Tigard I1 Date /By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 2 Phone: 503.639.4171 Fax: 503.598.196 4A 20 �� /y 1 �'�1 Date/B . Other Permit: Inspection Line: 503.639.4175 a'' � Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental lnformation CITY n T!CA . EOM ymk��Al PLAN REVIEW ❑ New construction ❑ Addition/alteration /replacement Please check all that apply: 12 Demolition ❑ Other: ❑Service over 225 amps, come] ❑Hazardous location ❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ['Building over three stories 0 Feeders, 400 amps or more ❑ Other: ❑Occupant Toad over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park Job no.: Job site address: fi • r 1 DHealth-care facility ❑Other: �`> 9hte s Submit 2 sets of plans with any of the above. City /State/ZIP: T7 ( L J 2 9 ' 14 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: 7,m4/ s /L)8/1/C5 FEE* SCHEDULE Description I Qty. I Fee. 1 Total I ** Cross street/directions to job site: 7b t=L u4//4 Ai 4-1 New residential single- or multi - family dwelling unit. . Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling • /U k< 7— C F64) 1 0/-27 G5 /L; //a service and/or feeder 90.90 2 _ Services or feeders installation, alteration, and/or relocation C 444)44' l•L9 //1 -//LL l Da L / ; 1 .tf k/T ?/ 6slf 200 amps or less 80.30 2 ft PROPERTY OWNER ❑ TENANT 201 amps to 400 amps • 106.85 2 / 401 amps to 600 amps 160.60 2 Name: Oh,4RL f L JIVil 4- 2/0/1464/2144 601 amps to 1,000 amps 240.60 2 Address: /5 4O S 14.1 "2/911,1 4,1!b- Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: T / 4 G q 7.L) 5 Temporary services or feeders installation, alteration, and /or relocation Phone: (A5 ) 3/7— 9 4 ,zj Fax: (��3 ).- 4/ _ /3 3 9 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: D w N 1?-4_ branch circuit B. Fee for branch circuits Contact name: l without service or feeder fee, 1 first branch circuit 46.85 2 Address: Each add'I branch circuit 4 , 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: ` 011,5\4 /A-- Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT, FEES* CCB Lic.: Electrical Lic.: • Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: ate: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: e-� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: P 144 gGs 2 7f4z/ ' Zm,4i/ \TA- Date: 3/24/06 • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. I:\ Building \Permits\ELC- PermitApp.doc 12/30/05 • 440-4615 T(10/02/COM/W EB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning = System* ❑ Vacuum Systems* ❑ Other: COMIVIERCIAL WORK ONLY , Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls • ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation 111 HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC- PermitApp.doc 12/30/05 � • • Plumbing Permit Application - - z ,i, ' F0I2 O FF C, 1 .1- � �OaN .7P T.,`=: ,-1 1..' 1 ": 4 1 �: �« ,W,..4--r, , City of Tigard ECE VED Received Date/By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 9722- Plan Review Phone: 503.639.4171 Fax: 503.598.1960 4 //,,rr nt �� i ; DDate/By Other Permit No.: 24- Hour Inspection Line: 503.639.4175 � Date Read 3�ns Internet: www.tigard-or.gov MAR 200 v I Ready/ By: Pi See Page 2 for Noti 6ed/Method Su pplemental Information TYPE W .. :c.,.': ° ° = .... (Q,R:1 9.�r�'IGARD , . �? � - . � a s � "} . 'FEE *SCHEDULE _ .- _ ❑ New construction Bl11LOI y!' Bgazflt Ibn For special information use checklist Description 1 Qty. 1 Ea. 1 Total Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection) ` .''' ` GORY 'OF CONSTRUCO TIN '! ..1's':`: l °. � CATE ' ' ` .; SFR (1) bath 249.20 A 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ['Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: . - " JOB SITE INFORMATION SAND LOCATION •" I Fire sprinkler ( sq. ft.) Page 2 .. Site utilities Job site address: /594(0 $ ('u 7 t' 4 (/.' Catch basin or area drain 16.60 City / State/ZIP: 77 6)4 .. 1 0 2 q 7,2 211 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: 7 /m/jLE12/ygy R6'S /!}t,(/GE Footing drain (no. linear ft.: ) Page 2 Cross street /directions to job site: 7(:; / ) t?ti nt R./40 Manufactured home utilities 110.00 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.: J Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 '. • •• k " ;DESCRIPTION OF .WORK `. , ' • _: Backflow preventer Page 2 N J � j to /-. E A) / PD SS /6C6: got/E. 5 /4)/, Backwater valve 16.60 /-f W' f-s tiElL ) C� /1)4k6 Clothes washer t 16.60 Dishwasher ) 16.60 : _ ' ❑ TENANT Drinking fountain 16.60 PROPERTY _OWNER I Ejectors/sump 16.60 Name: ('/t`4/ZG i 6 2 /14/ltEezpi4-4/ Expansion tank 16.60 Address: l S q4.0 r j kJ 76 Ave Fixture /sewer cap 16.60 City /State/ZIP: "7`(. f 0a, 9 722 9. Floor drain/floor sink/hub 16.60 Phone: (56 2 5 / 7- 9 6 5 Fax: ( ) Garbage disposal j 16.60 - .p. APPLICANT . 0 CONTACT PERSON Hose bib 16.60 Ice maker i 16.60 Business name: 0 A/ N&Z/L Interceptor /grease trap 16.60 Contact name: 4 /3 - Medical gas (value: $ ) Page 2 Address: Primer 16.60 City / State/ZIP: Roof drain (commercial) 16.60 F ax:: o Sink/basin/lavat Phone: (Sod) i7- q 6, 5 ( � 3 ) �4z / 3 o 9 Tub /shower /shower pan ' 16.60 E -mail: • Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: --- i. Cpl-, . n _ Q�, Water heater 16.60 Address: / �� Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 ' CCB Lic.: Plumbing Lic. no : Plan review (25 %ofpermit fee) Authorized signature: C/L ,,�� y _ j/ / // ) State surcharge (8% of permit fee) � TOTAL PERMIT FEE Print name: ('//ARLES 2//if / ',i010 ., Date: 3Az /e) 6 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1:\ Building Wemits\PLM- PemiitApp.doc 12/30/05 440-46 16T(10/02/COM/W EB) Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities - : ' -t Y :9!):-., . 1F (ea) Total - Square: Foota e k 1 ' R Pe ;, Footing drain - 1 a I00' 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 $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 ` < Fee o + additional $100.00 or fraction thereof to and '"Fixturor e. Item zW 3 , ,s.-.a,, Qty : T , - including $ 10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or ' each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: S50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: - ° :; =F:•pla><a Review;for Comple Structures = F -,'sf:: -.. Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees*. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new Commercial building Fixture Type .G Replace. • • ❑ Any new exterior plumbing site utilities. . , ... • Previous Capped • Ad E><is<ina ' ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher -Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" P Y Car Wash Drain ",: - '`.' Isoinetric'or Ri Dia • ' k Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refig. Drains . Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang .' -Stall Sink -Bar/ Lavatory I(/ - Bradley - Commercial . - Service j Swimming Pool Filter l Washer - Clothes 1 *Note: If the fixture work under this permit results in an Water Extractor ' P Water Closet - Toilet 1 increase of sewer EDUs, a sewer permit will be issued and Urinal 1 fees assessed for the sewer increase must be paid before the Other Fixtures: ' plumbing permit,can be issued. i:\ Building \P.doc 07/06/05 / ermits\PLM-PermitApp I r-\ Mechanical Permit A icat� i POR OFFICE USE ONLY • City of Tigard Re eeiveY Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 n 700 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �k / /Hi \ Date/B Other it I " y � i, y Ins p t ,' ection Line: 503.639.4175 - Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us TIGAR Notified/Method: Supplementallnformation C CITY OF Sit -DINCI. DIVIS PE OF WORK COMMERCIAL FEE* SCHEDULE - 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. CATEGORY OF CONSTRUCTION Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* l - and 2-family g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: /S9. s Gt) 76, 66 AIL/6._ Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 7764/LA .i 477_2.2 'Z Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name2rm A y q, S/ tics. Gas heat pump 14.00 Cross street /directions to job site: 7 c '€ f v14-.4401 R44J Duct work ) 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 P055/ el-4_5 Met c9. 2Ero/�,4) / /2 ue-- Flue vent for water heater or gas / N 74-7-7-/G_ / V 1 17 4 fireplace 10.00 1 � Y �' C � Log lighter (gas) 10.00 //t.) I < < 7 k S 4 ) • Wood /pellet stove 10.00 Wood fireplace /insert 10.00 X PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: e hci1z246S '' /J4r,) 4- Z /mfi7,znM4." Environmental exhaust and ventilation Address: /5.? 9 O s ik) 7� -1--=--1- (/F Range hood/other kitchen 1 10.00 e City /State /ZIP: 774 /t/L/ v 2 9 70 Clothes dryer exhaust 10.00 / 9 Single -duct exhaust (bathrooms, Phone: ( 9j) 3/ 7 - G 365 Fax: (5 Z� Zf 3 - / 7 ' ( toilet compartments, utility rooms) 6.80 p APPLICANT ❑ CONTACT PERSON ! Attic/crawlspace fans 10.00 Other: 10.00 Business name: 0 (if- E4____ Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: ni.. e Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: "'� rfk�Q� Other: dryer (gas) Other: Address: MECHANICALPERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) n / TOTAL PERMIT FEE • Authorized signature: C /ipl/ /! This permit application expires if a permit is not obtained within 180 7 /_ days after it has been accepted as complete. Print name: L ,�5 G /#1 t: •t/ c.f/L Date: 3/L q/® 6 ` Fee methodology set by Tri- County Building Industry Service Board i:\ Building Wermits\MEC- PennitApp.doc 12/03 440- 4617T(11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee:, $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including ' $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. t:\ Building \Permits\MEC- PermitApp.doc 12/03 2 ,; /co3( REGHVEF) MAR 24 2006 =, 1 • CITY Or iituifutu CITY OF TIGARD RESIDENTIAL PERMIT APPLICATI E IE DT \,TSI R OREGON • Permit Number d Lot No. Subdivision Address IMTWif • Contact Name CHAa. & ZsrHMfRMA - Business - Street M( • Cit • j._r6A.t'p State Q/j Zip q/ 7j)3 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. "The application is complete. • The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. The submitted plans cannot be reviewed until the above information has been submitted and /or approved. • he plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. I'A✓ — p6 Name of Plans Reviewer Date • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 Permit #: Address: l 59 zip S u) Issued by. � 1 ...,.�� Date: c/- /7 a 6 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. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (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 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If 1 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 the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Sign. ure ofpermi .pplicant) D at e (White copy to issuing agency permit file, pink copy to applicant) information Notice t() Pro i:i.)erty Owners About Coonstruction Respons^b^Nt^es Note: This to Property Owriers about Construction Responsibilities was developed by the Construction Contractors Board in acmrdamcew ORS 701.055(5). lf 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 RESPONISIBUTIES: lfyou hire persons not registered with the Construction Contractors Board to do labor in constnlcting 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 ernployees. &u the employer, you must comply with the following: Oregon's withholding tax law: A8 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 inforrnation, caII the Oregon Dept. ofRcvenue at 945-8091. • LJnemployrneint insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages nfall cmp\oyeun. For more information, call the Oregon Emp|oymcnt Department at 378-3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and m List obtain workers compensation insurance fbryouremployees. |[ you f8i|to obtain workers' compensation insurance, you may be subject to penalties and will be liable for alto la im costs if one of your employees is injured outbe job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. 0.8` Internal Revenue Service: As an employer, you nuistwithhoklfederal incornctax front employees' wages. You wiIJ be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the |o{con:|l<cvenucService at 1-B00-029'1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: &s the perm it. holder for this project, you are responsibleforresolvingany failuretomectcode requirements that may be brought 10 your artention through inspections. Liability and property damage insurance: Contact your insurance agent 10 see if you have adequate insurance coverage for accidents and oinissions such as falling tools, paint overspray, water damage from pipe punctures, fire. or work that must. be re-done. Time tn supervise employees: Make sure you have sufficiem time to supervise your ernplovees. Expertise: Make siireyou have the expertise to act as your own general contractor, to coordinatethe work ofrough-in and finish trades, and to notify huliding officials at the appropriatc times so they can perforrn the required inspections. If you have addicional questions. write or caiI the Construc ion Contractors Board (PO Box`14140, Salem, OR 97309-5052. 503/378-4621)..: The Bard is located at 700 Summer St. NE Suite 900, in Salem. ' • • '',| , . • pmp+xupm 1/94 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSi 20 0 5-1 0034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41/312006 Phone: (503) 639 -4171 irk) (I Inspection Requests (24 Hrs.): (503) 639 -4175 �..' INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 33 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN • DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6122/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 032165 -02 503 -317 -9365 N Corrections /Comments /Instructions: ii Theo tl/ cc �m — U ' Re- ab r' 1 � " HST , .IC.-- � g_oo ,4-1 l k/1 7'tt `z 4 i. P (. 'PR 0 v ebc;:-- eiX 6 "F /L__ V-- i Oevo - / a o t -S • Alo - T - t5 v../ Pz S C R ' c5 3 , CS S 1.) elk/ � At 0Z / /e_ STUb S e_ N p>t l N l- m 1.- 14-/_/ - P c, V it r Z. cl ®� Tv 1 .s La c.9.9 � C2 Kfz /-> (- i� 6oz_ , 6 _ (z) J r C i N /4-Ai I / f Z e u i f -7-K7 C 1 . 5 c - i i i ' c ,1 /` 0 tl - At < /401 1-10/1 oP 4L- £ roR_c thy 1 ,00o v� i s - 77fri cr U PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS ZY,FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C' i _ Date: ‘ - O Phone #: (503) 718 - 2—‘: ‘77Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 4/13/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: LIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503-317 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/2:-/) 2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 032165-05 503-317-9365 Corrections/Comments/ Instructions: aftSL-1446--`< "1 Ks, V "K— Ntecb PC-Y A% LJf 1 PASS 1 PARTIAL APPROVAL LIJ CANCEL 0 NO ACCESS FAIL 1 1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: - friP Date: 6 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2005 -10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 / ��i�p �jll+ Inspection Requests (24 Hrs.): (503) 639 -4175 �.� v:_.. INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: L)URHAMi ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503317 "9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 250 Roof nailing • 032165 -01 503.317 -9365 N Corrections /Comments/ Instructions: 14 PASS I l PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6'Z-2-c7‘ Phone #: (503) 718- Z CITY OF TIGARD BUILDING DIVISION PERMIT #: * M T2006 -10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639- 4171v�miN�u�ii��J��( 4---- Inspection Requests (24 Hrs.): (503) 639 -4175 ,_..,...30 .... INSPECTION WORKSHEET FOR DATE: 6/612006 TIME: 7: O2AM PAGE: 1 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIIVilvIERMAN DESCRIPTION: Remodel. • OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503- 317 -9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 031190 -02 503 -317 -9365 N Corrections /Comments/ Instructions: . Vj\bc0-1 '1?Le,cihr e•-ed bv '‘ & 9 .... c2,172.-t.A. + . r..7- S , )-0-z}N___e-3 , 1` 1 Dz.1-x.-% 9 / e ____ / , . .. 0 n PASS 1 1 PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS g FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: HA D ate: P hone #: (503) 718 - V±± CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& -10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1312006 Phone: (503) 639-4171 Akt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/612006 TIME: 7:02AM PAGE: SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DI.JRHAMVi ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: 71 Code # Inspection Description Confirm # Contact # . • - 205 Footing 031190-01 503-317-9365 Corrections /Comments /Instructio s: M , C/z2 -7 (i)iJ) s U a rC n P S PAR I IAL A' ' ROVA _ j , CEL NO ACCESS n AIL ❑ CALL Fg • INSPEC o ADDITIONAL. ES ASSESSED �� Inspector: /t � Date: - Phone #: (503) 718- • CITY OF TIGARD ) 5 BUILDING DIVISION PERMIT #: � D O b I � ` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 dim ,7� % qpi �1 X1''1 Inspection Requests (24 Hrs.): (503) 639- 4175!+`�!.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 5 5 T Q 7' At CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: —,2- Z — d - our Time , 00 Code # Inspection Description Confirm # Contact # Message 2 a d 3 030 $ � ` 3 /7 63 ® ' ; L / ( - 1 Corr ns /Comments /Instructions: v L 411 ------ r?sTEPR--ic,i 1 z- ie_e rnert NA' • • ASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL CALL FOR f SPECTION ❑ ADDITI L NAL F ` ES ASSESSED C Inspector: Date: v Phone #: (503) 718 - Z CITY OF TIGARD ._ BUILDING DIVISION PERMIT #: MST2006- 1()03 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/13/2006 Phone: (503) 639- 4171� Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:0OAM PAGE: 12 SITE ADDRESS: 15940 SSA! 76Th AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: R arr o del. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 317 - 9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 0207/60/ 503-317 N Corrections /Comments /Instructions: . / s . or � �+ s �� . j 4,41 i'■ r - 1.17' r r iga e& e d -4 t / Y' C_J)7'1..17 c.I7 /v.. ftD' ¢ /J? /i - f, -A b All is ■... OP Oa) ((mod C d 4 7 7.edi / alO ge_.,. \ X] PASS n PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , Date: // % i Phone #: (503) 718- 7 c 2 C CITY OF TIGARD BUILDING DIVISION ' PERMIT #: MS1'2606-100:0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/200(3 Phone: (503) 639-4171 41' Inspection Requests (24 Hrs.): (503) 639-4175 ,..0 INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 50 SITE ADDRESS: 15940 SW 7(TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZINIMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503-317-9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 4/2 Pour Time: 2.00 Code # Inspection Description Confirm # Contact # Message 205 Footing 028946-01 503-317-9365 Y Corrections/Comments/Instructions: 4b -. -- rh-e l 4 ,e---a-e., 1 --d) ,/,42 e-Adi _. 2 /712 -7/ - .0 - _/. _ 0A 6ci // ,et."-Ig . t ien &/-r7 AA-/-e.A.4.0 42/k7at-e--e- 6° vt-emr exe I PASS V PARTIAL APPROVAL 0 CANCEL I I NO ACCESS fl FAIL V CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED Inspector: W11114- 9, Date: Phone #: (503) 718- CITY OF T:IGARD BUILDING DIVISION PERMIT #: MST2006- 10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1312006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 612212006 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 317.3366 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/2212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 032165 -04 503- 317 -9365 N Corrections /Comments /Instructions: 41' -& / L!y d r- G NJ') e 4 p- 1j< Z �d�v tom• V n PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: e-/r `P Date: b 7.2 ^0, Phone #: (503) 718- CITY , OF TIGARD • BUILDING DIVISION PERMIT #: i1S1 26itr1l.:4 13125 SW Hall Blvd., Tigard, OR 97223 �. ° DATE ISSUED: 4113/2006 Phone: (503) 639 -4171 4iy�� t Inspection Requests (24 Hrs.): (503) 639 -4175 x 'II� r` 711 1/2006 10 M INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 1 SITE ADDRESS: 1°1"" 0 ' I i AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: 71Cv:Fvl?IAN DESCRIPTION: '`` riodef OWNER: IMMEF�/IAN, CHAP..LES & LINDA PHONE #: 0 :3 i 7 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: # Code # Inspection Description Confirm # Contact # Message 610 3as line 032920-02 51Y.- 317-9365 N Corrections /Comments /Instructions: \ '� -W (471 • r-. • • • • 4 0/ ,s4 PASS 1 1 PARTIAL APPROVAL 1 1 CANCEL NO ACCESS FAIL 1 I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: Date: r / k k Phone #: (503) 718 - `" � | CITY OF ~ / ��wn w ��n� TIGARD BUILDING DIVISION �~� ~ ~�~~.~~~�""°~� ~°"°"~~"~~"~ - PERMIT #: k4ST2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _ INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 1691USVV7GTMAVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7Y13/2006 added as flrepke and outlet. Reinstated for 20 das for final inspection. OWNER: ZIMMERMAN, CHARLES &L/NQA PHONE #: 503'317-9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 069307-01 50-317-9365 N Corrections/Comments/Instructions: PASS r7 PARTIAL APPROVAL El CANCEL ri NO ACCESS FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: CPA' ^ S1K1 CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: M aT:?006 1tY0:3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 "Mt Inspection Requests (24 Hrs.): (503) 639 -4175 •� - !. INSPECTION WORKSHEET FOR DATE: 6/23/21006 TIME: 7:03AM PAGE: 90 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZlMMF.RMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 50:3 317 - 3365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 030378 -01 503 -317 -3365 N Corrections /Comments/ Instructions: 17940 ,4A. 4 ss n PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 / es Date: LJ � w ; P hone #: (503) 718 • � CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST70f16 -10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /1312006 Phone: (503) 639 -4171 A pu i � I Inspect Requests (24 Hrs.): (503) 639 -4175 L I .. INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7/13/2006 added gas fireplace and outlet. Reinstated for 20 days tor final inspection. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503- 317 -9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 069266 -01 503.317 -9365 N Corrections /Comments /Inst f 1 1 I ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED f Inspector: , ' Date: S =� —r, ¢. Phone #: ( 503) 718 - �..4 -�. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 tiii'� Inspection Requests (24 Hrs.): (503) 639 -4175 � _!. INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7/13/2006 added gas fireplace and outlet. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503- 317 -9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 607/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051040 -01 503 - 317 -9365 Y Corrections /Comments/ Instructions: AAI 43 PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS I 1 °JL 1 1 CAL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: • Date: (� 0 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: *MST2006.10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639-4171 0.4 1 011\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:02AM PAGE: 66 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7/13/2006 added gas fireplace and outlet. OWNER: ZIMMERMAN, CHARLES & LINDA ' PHONE #: 503-317-9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/29/2007 Pour Time: Code # Inspection Description G_onfirm-# Contact # Message 199 Electrical final C049111-0 . 503 Corre ions/Comments/Instructions: kL..• • .*■ ' ikum.ifeNE- im%76.U. Aj.L Pokr1.- scie...sws &L C i4 tit .b 63) a-0.)1%1 CY - I • Fa. WI lt•1 i \ALL- \C■1‘ 6160 kt ("4-9 Z7‘ cze\ibt. c/f6' 0 1 PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: r 6Qs Date: 4 :1 1 1 Phone #: (503) 718104 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G-10031I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 lk i Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 6122 /2006 TIME: 7:01AM PAGE: 32 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel- OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503.317 -9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 032165-03 503- 317 -9365 N Corrections /Comments/ Instructions: 921 PASS ❑ PARTIAL APPROVAL fl CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: alp Date: •/ Z 7 - O 6 Phone #: (503) 718 - U1-/Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& 10034 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/13/1006 Phone: (503) 639 -4171 / " 1 41u� 1 1 t Inspection Requests (24 Hrs.): (503) 639 -4175 '' � INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7:06AM PAGE: 1 / SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: RGmadel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503.317 - 9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # • Message 120 Electrical rough -in 031288.01 503 - 317 -9365 N • Corrections /Comments/ Instructions: k4 a� ,_ , / , , 640,,,,k 6 2 > >, ,.0... _.,1 '% 0 drr rim !./ r � 6 0 . A.. / , i c r t PASS 71 '� ° RTIAL APPROVAL fl CANCEL n NO ACCESS P r4 AIL ALL FOR INSPECTION ` ADDITIONAL FEES ASSESSED Inspector: I Date: 0 Phone #: (503) 718 p`t 0/16 CITY OF TIGARD . . BUILDING DIVISION PERMIT #: • MST2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 i i A ��p� f�h� Inspection Requests (24 Hrs.): (503) 639 -4175 --�!+r ":_.. INSPECTION WORKSHEET FOR DATE: 1.2/12/2006 TIME ::01AM PAGE: 2 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7/13/2006 added gas fireplace and outlet. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503-317 -9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 12/12 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 040979-01 503-317-9365 N Corrections /Comments/ Instructions: P ASS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS n FAIL _ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: /Z /i —ola Phone #: (503) 718- 2- CITY OF TIGARD . BUILDING DIVISION PERMIT #: .MSTmO06.10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1312006 Phone: (503) 639 -4171 At°ui Inspection Requests (24 Hrs.): (503) 639 -4175 :�' . ='' � INSPECTION WORKSHEET FOR DATE: 10/1212006 TIME: 7 :01AM PAGE: 17 _ SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIIVIMERMAN DESCRIPTION: Remodel 7/13/2006 a dded gas fireplace and outlet. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503-317-9365 • CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 038103 -01 503- 317 -9365 N Corrections /Comments /Instructions: /� L / Ni i ' , yam. >' ` c a) (3, , / / PASS ❑ PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS ,(. AIC' I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: /6.-- - -,i6-_) Phone #: (503) 718- : , 1 CITY OF TIGARD BUILDING DIVISION .7 PERMIT #: ' MST2006 -10034 13125 SW Hall Blvd., Tigard, OR 97223 „,.. ,,, DATE ISSUED: 4113/2006 Phone: (503) 639 -4171 p"J + Inspection Requests (24 Hrs.): (503) 639 -4175 �_' �, �ii '�fL. ” INSPECTION WORKSHEET FOR DATE: 7113/2006 TIME: 7:02AM PAGE: r , SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERNIAN, CHARLES & LINDA PHONE #: 503317.9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2€30 Insulation 033065.02 503-317-9365 N Corrections /Comments /Instructions: r'4 941,--4-/(44w22_^. Ve6,(D g,. - w-6t_dc \c e\_r„.(,./Le_ , 1 , s ..c iii2 ei/i. 6,< -1----D c ie4a,t,..0..,,...A. , ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t i � / � Inspector: C! Date: 1 I 3 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION _ PERMIT #: ' MS1200& 10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4113/2000 Phone: (503) 639 -4171 AA 1iayp Ui Inspection Requests (24 Hrs.): (503) 639 -4175' f'‘-.L. INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: - 7:02AM PAGE: 6 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel OWNER: ZIMMERMAN CHARLES & LINDA PHONE #: 503 - 3365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7113/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 033066 -01 503-317-9365 N Corrections /Comments /Instructions: K s orit ; f A--e.t_ 4» (, -1_,C.- Z- -- 5,1e-e--r - L-7 4, --c (i N I 1 1 o i 1 I 1 i L II I - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ■ FAIL p ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Date: I 1 i Ins ector: l.J� i Phone #: (503) 718 - 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200E5 10t),3ri 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1312006 Phone: (503) 639 -4171 a " a Irn ii��lill Inspection Requests (24 Hrs.): (503) 639 -4175 ,__r INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 1.00AM PAGE: 4 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 3'17 - 9; 6 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7111/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2755 Framing 032920 -01 503- 317 -9365 N Corrections /C mments /Instr ctions: i ei 6 • .. • vc. .......____ s (41,._ ..........----- :Ii'l)91-1c(--e cUk,ts. \r�6 . ( 6 CIL ...e, (L---vc. , • k J4 -6 lr 0 If.S 0r Al. A_O J 1 k 1 L...A._ (4 �-- • �� 1 PASS ARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1�t Date: ` / .. /o Phone #: (503) 718- 1 ch______ CITY OF TIGARD _ BUILDING DIVISION _ PERMIT #: T 2006 - 100: 4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 . � nn��l 1pf Inspection Requests (24 Hrs.): (503) 639 -4175 -� INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIIVIMERMAN DESCRIPTION: Remodel. - OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503 - 317 - 9366 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 032920 -02 503- 317 -9366 N Corrections /Co ments /Instructions: /�]y// k k c 6 f CYln / ' 0 li . ( -4 2 w l / 4. 4, PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ( A/ Inspector: Dater k l c Phone #: (503) 718 - eV\ CITY OF TIGARD BUILDING DIVISION A PERMIT #: ' MST2006-10034 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 4/1312006 Phone: (503) 639-4171 *8401 / Inspection Requests (24 Hrs.): (503) 639-4175 0.141.- 1!. INSPECTION WORKSHEET FOR DATE: 616/2008 TIME: 7:OOAM PAGE: 5 SITE ADDRESS: 15940 SW 76TH AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 001 TYPE OF USE: PROJECT NAME: ZIMMERMAN DESCRIPTION: Remodel. 7/13/2006 added gas fireplace and outlet. Reinstated for 20 days for final inspection. OWNER: ZIMMERMAN, CHARLES & LINDA PHONE #: 503-317-9365 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6/6/2008 . Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 069445-01 503-317-9365 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: , Date: -.5 — 0 R Phone #: (503) 718- 2.5-1- ■