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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00001 • 4 - c _� i � DEVELOPMENT SERVICES DATE ISSUED: 2/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10905 SW 78TH AVE PARCEL: 1S136CA-07500 SUBDIVISION: PP1995 -036 ZONING: R - 4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: 624sf. addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 15 FIRST: 624 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 57,657.60 OCCUPANCY GRP: R3 BDRM: 2 BATH: 1 TOTAL: 624 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W /OSVCJFDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 9.00 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS 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: $ 1,287.36 This permit is subject to the regulations contained in the FECHNER, BRYAN W + KIM A RE LYONS CONSTRUCTION, LLC Tigard Municipal Code, State of OR. Specialty Codes 10905 SW 78TH AVE PO BOX 1122 and all other applicable laws. All work will be done in TIGARD, OR 97223 LAKE OSWEGO, OR 97035 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: 503 639 - 0209 Phone: 503 639 - 9737 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 Reg #: LIC 161685 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 f !� e / . -/_ Issued By : � f'P Permittee Signature : .'�G9� H , _ /j �'.vh� � L Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day f• Builditie Permit Ap : ' ..I tt. M1 NED FOR OFFICE USE ONLY • City of Tigard Received Date/B /-- —I. Permit No.: _ 4 odd° J . 13125 SW Hall Blvd., Tigard, OR 97223 h1. 5 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.196 AN //'°""r0, F4; I ' ° Date/B . /"la l/ ) — ,L .. c 2 s - -- Other Permit: J Inspection Line: 503.639.4175 y �'I I,� Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information BU REQUIRED DATA: 1- 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 Im Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY O F CONSTRUCT ION work indicated on this application. � I- and 2-family dwelling Valuation: $ Q Q Q® ._ y g ❑ Commercial /industrial , building Number of bedrooms: X71 6 ❑ Accessory g ❑ Multi- family ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ! 0 8 J 5 W --j New dwelling area: G� square feet City /State /ZIP: T i 1\02) 6f ci 1223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: 5 p (ZVc 5 Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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. 6 Z 'ODD IT I QM Valuation: $ � Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 6 R. l ac/I - Type of construction: Address: I © r 5 W '1c22 Tv' kc.JtS 'Occupanc groups: City /State /ZIP: `t t '7A) (52- 4"1'22- 3 Existing: Phone: (503) f SC) 0 LO " 1 Fax: (Gej ( W Q xt 003 New: ❑ APPLICANT �NTACT 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 C apply: Phone:( ) Fax::( ) E -mail: CONTRACTOR Business name: i 1,Y¢ C 6U61 C.. ( tom U.—C.— BUILDING PERMIT FEES* Address: P Q, -,icy Cr2 Z Please refer to fee schedule. City /State /ZIP: �e., ) \a-TO t Oa C1 ', 03 �,p Fees due upon application Phone: (503j) ( Q t� 131 Fax: ('9D) ( 9 .1.1, C. V L. - to 5 • (0 ; / \ � , Amount received CCB lic.: t�ltoR� �- 503 / Date received: • Authorized signature: t t I ) This permit application expires if a permit is not obtained r within 180 days after it has been accepted as complete. Print name: 2� L- S Date: ( QS • Fee methodology set by Tri-County Building Industry . Service Board. i:\ Building )Permits\BUP- 11- PennitApp.doc 12/03 440- 4613T(11/02/COM/WEB) A— Building Division A �j Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions- and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3** • Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i;\ Building \Pennits\BUP- TI- PermitApp.doc 12103 440- 4613T(11 /02/COM/WEB) Jan 20 05 06:20a John Ripplinger 503 -623 -9581 p. MAY -27 -2004 04:57 From: To:503 623 9581 P.2/2 El Permit Application F OR OFFICE u* O L 1 A . City flf Tigard i cy per .4 No.: 1,, ►y'rzoos • o00l 13125 SW Hall Blvd., Ti&urd, OR 97223 Phone: Phone: 50 3.639.4171 Fox: 503.5!18.1960 i ' i j�J' +s Date/By. Other Pernik lnspertinn Imo, 507 6394175 X 411 1 Dam Ready/By. ]uric 0 See Pipe 2for Internet' www.cl.ingard.nr. NotifiedRttethnd: Supplemental Information TYPE ' WORK FLA1`7 RIIVJRW -- OF New vuuslrueliun ® Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: O Sorvit•,e nw, 225 ;Inv, Corna19 ❑Hazardous location ❑Setvicc over320 amps- rating ❑13uildng over 10,000 sq. fi., CATEGORY OF CONSTTCIUCTI )N of 1- and 2- family dwcllin33 4 or more new recittentinl 1 1 - and 2-family dwelling ❑ Commercial/industrial /industrial 0 Accessory building ^ ©Syncm nv,;r 600 sells uui runt units in one structure ❑ 9uilding over three stories 0R-oilers. 400 amps or mo c r. ❑ Muili- family ❑ Master builder ❑ Dater: 0Oectpa,lt load over 99 per:unu °Manufactured fitnitiorcf. or JOB SITE INFO1..MATION AND LOCATION ❑Egtess/lighbng RV park ❑Health -curt facility ❑Othter Job tip.: 1 lob site address: 1 OCtoS yw - i $ H A,1.€ Submit 2 sets of plans with lay of the above. C.ity(StalerZI P: ^("( twt}fZj) Q•.I Z..Ti3 The Arnie are not xpplicnblc to Temporary construction service. Suitt/bldg. /apt no.: Project name: F eGNuER ` HE* SCHEDULE _ . _ .._ warn/von 1 on I Yee. I Y'obi 1 '• Cross street/directions to Job site: Ncw residential single- or n o Ili-fa laity dwelling unit. [ Includes attached garage. _ . ._. 1,000 rq. R or less 145.15 - 4 Sulitlivit:i. L no.: Cal_ tuld'1 500 sq. D. orportiom 33.40 l Limited energy, residential 75.00 2 Tnn rn np/parcel no.: - Limited energy. 2 DESCRIPTION OF WOrm Each manufactured ermodal Ir - dwCllinP, Strvieecatil /or !evict 90.90 2 Services, or feeders inetnilst Aye, tltlerajuli, sad /ur rtaueatton 20 amps or less 1 80.30 2 2 PROPERTY OWNER El TENANT 203 amps w 400 amps 906.85 2 4 --- '- 401 amps to ti00 amps 160.6D 2 U Narrc: 13R-/A0 PcN r iL (JtrA_ P c, it to � Q 601 urupv to 1,000 umpa 240.60 2 Address: 1 oCi oS .5 LO "7 c6 Tf} Over 1,000 amps or vole 454.65 z ,.rh -- Recoturael only 66.85 2 City/State /a': -r 11 LO u� („i1 - z, Temporar aervieea or fecd,tni Inxiallation, alterntlon, and /or Phone: ( ) [Fax; relocation zoo amps or toss 66.85 I-I2 Owner ius lallntion: This ingbtllatipn is being mode on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, rood 701. 401 amps l0 690 amps f I _t 1.75 Owner signature: Date: Brunch circuits - new, attcrottoo, or extension, per panel ® APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch cu•cuits wiry service or feeder fee, each 6.65 z Business name: R,e L1j6 C9••1Sr�jc - Ingo branch circuit Ciauttk t ,wtuc: ' 1 f) /� r7 1 1 8. Fee for branch Circuits r 1 C T"t l A , PT O R. C4't' k 1G1� v- p e4 wil4oia ser its Or feeder foe, I Address: i7 p- �� , I ) 1 cods branch circuit 46.85 (AS 2 �' 5 . l Each add '1 branch circuit [6.65 1591 s` 2 . City/State/ZIP: L, A 1d� O ,y Ia � 41C) 6' nalwcenanenus (service or rc:acr of included) Pupae: ( 5 ef5r Ci i i Fax:: (SD3) ( 41 ,,c4 i!I Pinup o: irrigation circle 53.40 2 E-mail: , J - 'GD Sign or outline lighting 53.40 2 Signal eircuit(s) or limitcd- CONTRACTtIR - energy pastel. ulteruhon, or evtensinn T)eecribe: Page 2 2 Business name: R i.PP g (- 'rr c _. Address= �o� �jp x 3 Each additional inspectin■ over allow List in any ur the above rei inspectiat 62.50 / City /Suite:ZIP; 1 .L�aS 1 0 C. 1 investigation per hour (1hront) 62.50 4:'?-3 per 73.75 p phnnC: ((s03) + - 27 (oZ Fux: (56�_ 'q Industrial phase S�, P P �' ELECTRICAL PERMIT FEES" i � - CCB Lic.: ' Electrical 1.ic.: (9! ` - 7 3 C Supi'v Lir.: 50-1 $ S SubWtu Q + l - 4 7 Suprv. L-.lectrir.ian sienabim. required Plan review (25% of permit fee) 6 r ( , x^ `1 1 t Stulc su 8% of permit fee) i Print namc:� R; (f1 l y.- ! Date: I - 20 ...0 -J l TOTAL PR.RMiT FEE 1 % 1 A,lltionzcd signature: This permit applrtadoo expires it a permit 4 not obtained within tat days alter It has been atttpeed as complete Print name: fate: - Foe ,ta;unetrrluLy ..ea by Tti -C aunty Building Industry Str.. ct Ooard •• Nu,vber ur.v pe,:nun:: per per ollowcd. ■a8+i1dvwVwmitALC- Perm iii 13 e4-e61ST(10/071CW. cL Mechanical Permit Application FOR OFFICE USE ONLY Cit of Tigard ' Received Permit No.: y Date/By: MST ZOOS - 000 I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Aiwtll a t Date/By: Inspection. Line: 503.639.4175 �.i_I_. r Ready/By: Juris: See Page 2 for Internet: www.ci.tigard.or.us * y y g Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST p New construction N 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: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: 1 oq 05 SW - 7 €71- AQE Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: 'r l' R D 02 q 722,3' Furnace 100,000 BTU (ducts/vents) 14.00 ,!� ' 1 n Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: l - V I I L) 2_ Gas heat pump 14.00 _ Cross street/directions to job site: 5 tP2uG t 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 / 24 6.c. MI - n(0U - TO N V./ 5 1 Cle. Flue vent for water heater or gas CC E)( k S T l N (r t-1006.7. t - L l ice 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ® PROPERTY OWNER Chimney /liner /flue /vent 10.00 El TENANT Other: 10.00 Name: .R 2YkW ■( M Feck1 Z- Environmental exhaust and ventilation • Range hood/other kitchen Address: 1 oci 0 CJ C (.o 7 td L_ ptoe equipment 10.00 City/State /ZIP: , Ca.- cq`] ��3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 ,I,) , Other: 10.00 R.. Business•name: .. L� e C( ST J3 L(& Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Q Q. 0 . E CDX 1 C12- Gas h ea t etc. Gas heat pump City/State /ZIP: L e CS 'J 2 � 73o5 Wall/suspended/unit heater Phone: ( 503) 639 oil 37 Fax: : ( 503) 620 q 4 »2 Water heater Fireplace E - mail: Range CONTRACTOR Barbecue ; Business name: 3 Cv- s \.....4\--. 11 .(i. (66) n� Clothes dryer (gas) Other: Address: l 6 0 .Sr: n l h ( l MECHANICAL PERMIT FEES* ' City/State /ZIP: 1n \ \ W f , l O C q7 7 _,7 ' Subtotal I ' L 1 Minimum permit fee ($72.50) Phone: 'l J Z I Fax: ( ) ( J I 0 S O� Plan review (25% of permit fee) CCB lic.: d . c- Ada , State surcharge (8% of permit fee) / L V T OTAL PERMI F EE Authorized signature: w � VC / is permit application expires if a permit is not obtained within 180 g ' days after it has been accepted as complete. Print name: LO 9-‘ f� �f . , 1�5 Date: 2 J 41, 0 * Fee methodology set by Tri -County Building Industry Service Board 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. , i . • - • i:\Building \Permits \MEC- PermitApp.doc 12/03 2 Wednesday, January 19, 2005 8:10 AM Mike Patterson Plumbing 503 -632 -5647 p.02 t ( -?7 -2064 04:26 Froa,: To'503 632 5647 P.2'3 i hit) g Permit Application 61_i7l Conti_ : t ()Yi,v City of Tigard "^"°°ad I1/2 C'tMUCIS , GOD 11125 SW Hall HMI ,'flawl, OR 47327 PIaola:iew Mot: 500.6]9.417/ Pas: 103.391.:140 : 0llKri'ttmlrNa.: 26 - hour trt�prelten Lint: 503,639.41 ill I fel4140/ uruw of ylai'Q aT �i Dt ra Res4411y .. A"' i ® Ser rase ! h., y Nt. 1,44.1ratad t SI, i4Inamtal labneatiae i' ((� �'1 ��t `!. ]tl.yy� . p A �y�a�i . L�i.> -.'). +� :I ._ dA Y i 1� JI�t r,� „ �.. .• ear . ' l a cf / 1p,X k _ i tittMf K ' !IL'! i it rl'1':: 0.HCw e onswcffey T ❑ D mc]itlPn • UIYG /1011 Add dv71/ahtDUl�I/teptocenert (=I 2s•� 1�e7t P Nrn' _ 1.:gunny dartimoit 016160/[ ]On R, frrr 601 uti0ty tort m;ivA) 5, , 4 1 .4 x c 1 r! I Ih ;'.��, ri., r? i,1 : 7ll ,tr11 i ? � i ... gram both I= 249 20 _ )t 1. and ]family do•ollinit ❑ COrialltat691:6313fb761 5112 (z) bath _ 9dp.UC ❑ 1166666vey buiidlag ❑ NInIii.tvoily PR MIA, ■ 394 -06 ] 1?Rasts builder ❑ p Bich Odt16166ii 1XIM5tahwn 6500 7:Ei µ - a . ;wu ?,,,.1 = 3� i - r ��� U r�F 4 1 , �r-�•� —v-C r ,, r ^9 Trip � cr ( r9. R.) MN Pine 2 nJ6 1 i.,hX..::�I.a � i4't"FAI Ie,� •rf h , k t+9r JII Ca f.�c.. 7 Zim."�Y.1_c S i t e 4 1;1;613 • Job 6166 add ma: `Qq CA 55 y a T N Ak"V E 64066 beam or arm tat 1 6.430 Cite/Suit/20; 7% t a J r A . D t O i l , _ . co 2 7 _ 3 nr watt, lath linear worth drain 16.60 bu[b hpt, or,._ • Prof ea awn '' F .gc, N N elk yowls &ate (144. ]mar Pe: ____) Past 2 Cara s d1icc o j ID'6 Manufnaurc6 boric lid /Rica _ t IO.n7 J b titb 7taldlOtt _ I6.rn Bain dram taorga. F HAD Sir.lcay ma (aa. I1666l' 11.:__,___) Pap 2 _ Storm sower (nn iir,ear ft . _ _ _ _ _ } Papa 3 , 514aiiviai6D: LOI a a.: - Valer am,pr (n O. floor `,t • ) Pegs 2 1 — Tax map/parcel n .; --- Minors �r /cam —_ Y as irl r 4 . r- Ai)Wacocovalvc 16.60 i tt ti lw.: r d ia V xJ � r r. ' 747`t — arr� l t C :jllii E` � , 1 11 1 , �" aaCktiOwpnvCn #p Pu b ea _ Y.clvytor valor 1 r♦. W R . Ctcafra waahrr 460 Githrwvlr i- _ 1 16.60 T tTs„ . ^ YI : 5 �' -. it i7, ti'r•'T .�4.:i ,S ,- 1:1 } 1 ` /.i,jt .�d.:ttYRtt� ril E7: tt6.9 1640 15 4, 4. B�rctar5/sutr p 16 r4 Name: oRYAr 444 11 c 1R/l EEcFLfSz Lxyenci4n tmk 16.10 Adtircaa: (e,) 7 TN FiatarNSewleroip 16.60 CirylSmtr/ZIP: 1'14Pr 6r wueror SIOIrlrO 15.60 Pbmra: ( ) Pax. ( ) Glow dt7pasal 10 t)n e`"P r °'�I �;����xr "irl'"tJ,�1 J" ; , �� ' ft G , !^`i 1 {t ,1to6ibib 1 �.. ; r�Hi� u.. �` 3 fiR 1 . n: �s� 7 76�2i : Y�JY :f��>.)���!QA:,_y'lii�!^���t7 ��}tc��rl�:. 111111111110311111111111111 111111111110311111111111111 iH mmikcr }C 66 u'uircwsa71m RzE LfQ J C6b-J4rr4 [nncact n � //�� � t rr��T �.(,[S � hlce<OtrVrCrfffgsne aaP 14 iv �j 424 v l 111�� L T MW ial �i �c duet 7 _) YOS� 1 II A4C:roaii p .( . l � QX ((2-. Primer 16 60 gcSSurzZfP: 14, ar 4 Roofttnin (C6ntaKrvial) 1660 ME PLur e 7 Q � 1 r � S wlwslrAovotory 1 S 60 r 1501) �OI 'i h 7 Fox' ( ) Q gt4Ge ,n l 3 bZ Tub/srwwa/shaauerpan f? mt. I. Urinal 16 09 1660 1 ! # - , 1. 6�v1 11 t :lY.�Y't- �:;�'i,�rtl�_.�w t,h�irl4: i? "5';i13�fi{yh.Tf s� 3 ` ".aC Wales ciocN rx Me 6041ggSmbKl ow TIJm Watehwter II it 60 /Wllrvea. 150A$ S . ;4 L„ O , Ortm. CiiyiSttta/P.IP: O r a ( .; ., C1 0 . { � bebT 2l d M nlmam omsit 1b41 57350 Charm: 3) 4 s - 7.3 � J+, x: (Sa3) 635 -s . q ' 4 _ tr s i r t o4 bw.-kouw f,...imu*n : p ftt: $7071 . CCB Li + ie Piwnbinµ Ll0. aim 3- 36-776 _ P lYn coview OS% etpewit Per) AUOlariaal ridndl�: Stan iwc)Hrl4F (RW6 of ircrmil fte) 1 TOTAL PERMIT: fib Yr ! u it muse, .5.� ,.. DYI l {g (or YIJn perm[[ applieetler e)<pire, if a Parol[ fa rat obtained TVithia 140 Jaya ahcr it war IKCe arcepto6 ae c6mp1cw- ''C96:*te'ticde1opy etc by TrI-GOiurtr 9oi Mind Inuvatry Srrv;lz /Saud. .SKdiarauNaaatura..1 a% rau w1071a Ytx:a.2611 CITY OF TIGARD B IND UILDING DIVISION PERMIT #: MST2005.00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2005 Phone: (503) 639 -4171 A d ,, ; p °�il Inspection Requests (24 Hrs.): (503) 639 =4175 INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :•I2AM PAGE: 63 SITE ADDRESS: 10905 SW 78TH AVE CLASS OF WORK: SUBDIVISION: PP1995.036 LOT #: 002 TYPE OF USE: PROJECT NAME: FECHNER DESCRIPTION: 624sf. addition. OWNER: FECHNER, BRYAN W + KIM A, PHONE #: 503 -639 -0209 CONTRACTOR: RE LYONS CONSTRUCTION,LLC PHONE #: 503-639-9737 Inspection Request Scheduled For: Date: 6/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 007297 -01 503 -705 -6757 N Corrections /Comments /Instructions: . • rg PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -411.14N Date: -Cf VOS Phone #: (503) 718 - CITY OF TIGARD - � BUILDING DIVISION PERMIT #: MST2005 00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24!2005 Phone: (503) 639 -4171 Ak nn- lmlyuli Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 93 SITE ADDRESS: 10905 SW 78TH AVE CLASS OF WORK: SUBDIVISION: PP1996.036 LOT #: 002 TYPE OF USE: PROJECT NAME: FECHNER DESCRIPTION: 624sf. addition. OWNER: FECHNER, BRYAN W + KIM A, PHONE #: 503-639-0209 CONTRACTOR: RE LYONS CONSTRUCTION,LLC • PHONE #: 503 -639 -9737 Inspection Request Scheduled For: Date: 5f20J2006 Pour Time: Code # • Inspection Description Confirm # Contact # Message 199 Electrical final 007299-01 503- 705 -6757 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 -- Date:c ° c) -- C) Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24(2005 Phone: (503) 639 -4171 . iimi aa�� glm�N4��j Ill - - Inspection Requests (24 Hrs.): (503) 639 -4175 ,...,14-• INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 91 SITE ADDRESS: 10905 SW 78TH AVE CLASS OF WORK: SUBDIVISION: PP1995 -036 LOT #: 002 TYPE OF USE: PROJECT NAME: FECHNER DESCRIPTION: 624sf. addition. OWNER: FECHNER, BRYAN W + KIM A, PHONE #: 503- 639 -0209 CONTRACTOR: RE LYONS CONSTRUCTION,LLC PHONE #: 503-639-9737 Inspection Request Scheduled For: Date: 5/20(2005 Pour Time: Code # Inspection Description Confirm # - Contact # Message 699 Mechanical final 007302-01 503 - 705.6757 Y Corrections /Comments /Instructions: I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c___„c Date: ��.° r Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2005 -00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2124/2005 Phone: (503) 639 -4171 �" "r' °ni �hypiglfji l �� I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 92 SITE ADDRESS: 10905 SW 78TH AVE CLASS OF WORK: SUBDIVISION: PP19966.036 LOT #: 002 TYPE OF USE: PROJECT NAME: FECHNF_R DESCRIPTION: 624 addition. OWNER: FECHNER, BRYAN W + KIM A, PHONE #: 503-639-0209 CONTRACTOR: RE LYONS CONSTRUCTION,LLC PHONE #: 503 - 639 -9737 Inspection Request Scheduled For: Date: 5/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 007300-01 503- 706 -6757 N 1 Co rections /Comments /Instructions: ‘ yc 5 )J7I 4 7 / 6. ' ■ cr 1 iii 1, 1 . . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: g i i / Date: -- ,P — -- Phone #: (503) 718- . vLL C1eanWater Services v Ce, r _nn:ni =n- February 18. 2095 JC Richard Lyons Lyons Ccnstruotion PO Box 1122 Lake Oswego, OR 87035 RE: Addition lo single family residence located at 70905 SW 7f' Ave.. Tigard, OR CWS file 05-000 204 (Tax map 18136CA Tax lot 07500) Clean 'Waler Services has re your Sensitive Area Certificsricn for the above referenced site_ District slat= has reviewed the submitted materials including site conditions and the description of your project see attached site LCD Oar). Staff concurs that the above referenced project will not signrficanthy impact the existing Sensitive kegs found near the site. In Tight of this result. this document will serve as your Service Provide.' letter as re: ii Bd by Resolution and Order 04-9, Section 3.02 1 411 squired permits and approvals rust be obtained and completed underappl:ob;e local, sate, and feceral law. This letter doe s NOT eirninate the need to :rotes Sensitive Naas f :hey are CLJ subsequently dertified on your site. If you have any questions, pieam fee free to call me at 503-681-3505. Sincerely, CYO t`L e Chu* Buckallew Environmental Plan Review Post- it°= axhote 7571 Q'Itl r' 1p1;4.1-7.b A Site plan attached To jawd cif F'""' «a�t.O5,. • , 46r- 36a A Pa" 5 i'J� -3 L.`.', :Fans CO E:'CciAlpmes_Sv_dLLP C4 roc. Loza.:' I (36CIO7>: 41 -w ato water qux_it, :4 - . al li 2553 S45 H Higtwn j • Hillsbc c, Oreao• 57125 Phone •;`_C3) fit' -3E00 • Fax ;: C3) 681:603 • ww:�.Clew ^WztnSer,fce! .'g .., C../ LA_ ' crie.1GIAls..L Coice-r-g.kM .,, • - - • oP,:r.:. l• • r ---"--7— L - e ---I qih, t-it‘ibt211-k .7 0' - • . , . / . ..i Z . r 0 . . , io Z4 0 . Nov r I/ / • ' . t LL ( c , t ,- . • \ 1 - —Jab 3 ? 1= 1 z //// "/ / / ..,-..•/ / t, • Lu 0 1 0' L., 4 I I I Lri 7 • . / NI 17/ 1 / I 1 - „ . ,... - • Nt-i ....,-, . ,.. .5o u-nk eLt. 4 Lu Z4 -0 _ • 1 ! . I . • CP g) e 1 , - • 1 \ 4v --- -'.— - . • . .., Ai