Permit ,.Y '
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00108
a DEVELOPMENT SERVICES DATE ISSUED: 6/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BD 02200
SITE ADDRESS: 14955 SW 79TH AVE ZONING: R -4.5
SUBDIVISION: DURHAM ACRES LOT: 044 JURISDICTION: TIG
Project Description: Kitchen addition.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 12 FIRST: / 4 00 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 12,936.00 REAR: 15
PLUMBING
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 < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: 1 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/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 7 SIGNAL/PANEL: IN PLANT:
MANU HM /SVCIFDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 k: > 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: LANDSCAPEJIRRIG: 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
PRESTON, ROBERT J ALFRED STONE applicable laws. All work will be done in accordance with approved
14955 SW 79TH AVE 1793 MAPLELEAF RD plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 LAKE OSWEGO, OR 97034 of issuance, or 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
Phone: Contact #: FAX 503 699 - 3533 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 997 - 1051 or 1 -800- 332 -2344.
Reg #: LIC 121326
TOTAL FEES: $ 955.17
REQUIRED ITEMS AND REPORTS
Issued By :,/, ,e,77yJ J • Permittee Signature : ,�Y1
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
n tr y �� r ). � ' FOkOFFI USE ONL
Building Appl , �
Buildi -
IS '-� • • Re ceived ,r_ / ..
of Tigard y� .S D 6 � �Z Permit N �; ,2 G O
City g Date / B : u
" 13125 SW Hall Blvd., Tigard, OR 97223 r• t Plan Review (� ��
0 ' Phone: 503.639.4171 Fax: 503.598.1�960X \ ` ` oo � D � /U �I Other Permit:
T i CAH D Inspection Line: 503.639.4175 ' '„ Date ReadyBy: V - / luris: El See Attached Checklist for
Internet: www.tigard- or.gov �0r-v il(^,.e p 11 ,3�i Notified/Method:0 SceSiL - Supplemental Information
Y ,-.XTin t glFe , \ c... ,e, Vi,.
TYPEe REQUIRED DATA: 1- AN132- 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
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ (/� i 00 40 ...----
[fl- and 2- family dwelling ❑ Commercial /industrial TT
❑ 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: t L19 5 5 s( ) '?cI 41 CLV"e_. New dwelling area: l (( 0 • square feet
City /State /ZIP: T ,tot. yd O•C. q7 Z-ZY Garage /carport area: square feet
Suite/bldg. /apt. no.: J Project name: i"y�Sjv-\ Covered porch area: square feet
Cross street /directions to job site: � Deck area: square feet
(7 � b .Q- - U r ow.: \---e...... 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.
d o 1 �lC I V L��ti Valuation: $
` Existing building area: square feet
New building area: square feet
PROPERTY OWNER 1 ---� TENANT Number of stories:
Name: �OVaEV 4 ` .. 11KV t C�1- C.%,.. L v_ �C.- -() e•■._ Type of construction:
Address: ‘ ye( 55 S(,, •7Ci+L. .".e Occupancy groups:
City/State/ZIP: 1 City/State/ZIP: T cc,lrc o il_ C. ( -7 'L2k4 Existing:
Phone: 5( 62.0 „ () Fax: ( ) New:
IW APPLICANT ❑ CONTACT PERSON NOTICE
Business name: )f: '.(v -ee.. All contractors and subcontractors are required to be
Contact name: le L S A - e N—•Q licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: V7G13 vy\r ‘o \ v ink, jurisdiction in which work is being performed. If the
City /State /ZIP: L03k D i.xy b R \ c(7CD9 applicant is exempt from licensing, the following reasons
_ '3 /� 2 apply:
Phone: 501 C(e1 -7 k O sl Fax:: (5 (f{4 a����
E -mail:
. CONTRACTOR
Business name: l4- V 5 �� BUILDING PERMIT FEES*
Address: k _ J) (Please refer to fee schedule
7 �� � 1 Structural plan review fee (or deposit): ®_
�
City /State/ZIP: 1 ...0 .34 .4 (, }�'� ^^' p p pp.. CAZ at70 7 t i
Phone: C e `7 �'S Fax: ('Crt) r,
SC(c ..-SS°255 FLS plan review fee (if applicable):
CCB lic.: lZ`-6 Z Total fees due upon application:
Amount received: ce
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: _CVNeek Q Date: V 0 6 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits \BUP- RES- PermitApp.doc 03 /21/06 440- 4613T(1I /02/COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR'OFFICE USE 4oNLI'
City of Tigard • Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associaassoda
• Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
`TIGA'RD
24- Hour Inspection Line: 503.639.4175
CI Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard - or.gov ❑ Other.
THE FOLLOWING; ; ITEMS ARE REQUIRED FOR PLAN REVIEW � ,N
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 per 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 Dylan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc. ,
Co ,. 43 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ , ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size • •
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property 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 plow dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
:13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building.envelope.,
Full -size sheet addendums showing foundation elevations with cross references are acceptable. , •
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑. ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing. spacing; and bearing ❑ ' ❑ • ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ '❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ' ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non - uniform load. -
20 Manufactured floor /roof truss design details. ❑ • ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances. • . .
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ . . ❑
architect licensed in Ore .on and shall be shown to be . • • licable to the •ro'ect under review. •
IURISDIC IONALISPECIFICS
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.
1 \Building \Permits \BUP -RES -Penn itApp.doc 03/21/06
• ` Building Fixtures
y
Plumbing Permit Application,, \ v r
F usi,QIN
LY ' .- . ';''
`( ,'�� - --' Received
City of Tigard J Permit No.:
n 13125 SW Hall Blvd., Tigard, OR 97223 P Date /By.
^ 3 Plan Revie Other Permit No.:
t' I ll ; • Ph one: 503.639.4171 Fax: 503.598.19600 0 20 D ate /By:
T i:G A R D Inspection Line: 503.639.4175 p ;Date Ready/By: tuns El See Page 2 for
+ • Internet: www.tigard-or.gov
r'rurT ki (( > ∎\- + I ! t il3 'Nopfed/Method: Supplemental Information
3 �;L �. - .- � r ' ' r
TYPE OF WORKS ' - FEE* .SCHEDULE
❑ New construction ❑ D
'' t em 119 oldton
" 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)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
VI- and 2- family dwelling 0 Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 14 q 55 s w„ 7 ct A, 4 A v-e__ Catch basin or area drain 16.60 •
City /State /ZIP: T t s o t V' (� O�roC7Y_ 722y Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: J I Project name: "P v eS 4� 1 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16.60
Si9C4A.- t9 ' C" Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK
Back flow preventer Page 2
'PjUIM p p v`} Otda. 14. Fv� kicc kdA Backwater valve 16.60
Clothes washer 16.60
Dishwasher k 16.60
• (CO/PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: T o b,ev 4- 1- ( s -4 - ems "T s -0 \ Expansion tank 16.60
Address: 1. L( q y5 SW . 7 q + PV .e..... Fixture /sewer cap 16.60
City /State /ZIP: "'t' Z r('(�V'(A._ e l � CZ, `l 722-tf Floor drain/floor sink/hub 16.60
Phone: ( 5p3 GZo q ( 60 Fax: ( ) Garbage disposal 16.60
E' APPLICANT ❑ CONTACT PERSON Hose bib 16.60
� 4 iz Ice maker j 16.60
Business name: - Interceptor /grease trap 16.60
Contact name: _ �j y () Medical gas (value: $ ) Page 2
Address: ``7' a 3 M `^e O 4 Primer 16.60
City /State /ZIP: °t J
c OZ (�. 7a Roof drain (commercial) 16.60
Phone: 5O) 4q' k o'S \ Fax: : ( S) 6 QQt 3533 Sink/basin/lavatory ' 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60 •
CONTRACTOR \\ Water closet 16.60
Business name: D p \ U- y�/�,b i Water heater 16.60
Address: 1 ci, P7a r
, I , � Vlf, • _ _ i Other:
` p 7( � �� Subtotal
City /State /ZIF Co t L(,.- Y _ . 0� 1 4 N V - Minimum permit fee: $72.50
Phone: , .- _ t) 7C) - Fax: ( (p3 - ; 05 - 4:0 Residential backflow minimum permit fee: $36.25
�CB Lic.:/ _��
w ) Q/7 Plan review (25% of permit fee)
:)♦ - �' Plumbing Lic. no.: "3 _44.g /
Authorized signature: 7// / o Y State surcharge (8% of permit fee)
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.
C \Building\ Permits\ PLMF- PermitApp.doc 04 /06/06 440- 4616T(I0 /02/COM/WEB)
•
Plumbing Permit Application - City of Tigard , •
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site. Utilities. - Qty. Fee (ea) Total Square Footage:, Permit Fee:
Footing drain - l' 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Storm &Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: .
$1.00 to $5,000.00 Minimum fee $72.50
Storm &Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each .
,Fixture or,Item' Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000:00. ,
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 'S379.50 for the.fir"st $25,000.00 and $1.45 for
Inspection of existing plumbing or . •
each additional $100.00 or,fraction thereof to
specially requested inspections - per hour 72.50 and including $50,000.00.
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
R^ 4.
,
Fixture Work: Pla for Complex Structures es
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 12 Any new commercial building.
Fixtu're'Type: Replace El Any new exterior plumbing site utilities.
Previous Cepped Ad Existing ❑ 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 Th ru facilities where new plumbjng fixtures, including iriterceptors,
Cuspidor/Water Aspirator are being installed for4he 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.
, ' • •
•
-4"
Car Wash Drain - Isometric or Riser Diagram , ,
Garbage - Domestic ❑ Isometric or riser diagram is'required for new buildings
Disposal - Commercial . . three (3) or more stories in height. t
- Industrial
Ice Mach. /Refrig. Drains I , ' •
Oil Separator (Gas Station) ' Comments regarding fixture work: '
Rec. Vehicle Dump Station
Shower -Gang
-Stall .
Sink - Bar /Lavatory • •
- Bradley
- Commercial
- Service •
Swimming Pool Filter , •
•
Washer - Clothes *Note: If the fixture work under this ermit.results in an
Water Extractor er p
Water Closet - Toilet increase of sewer EDUs, a se permit'will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i:\ Building \Permits\PLM- PermitApp.doc 07/06/05
Jun 06 06 11:15a All Pro Electric, Inc. 503 - 246 -0406 p.1
LJec `+ca AppL�cation
FOR OFFICE. USE ONLY
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223
Date/By: Permit No.: �}� s /Zbb/
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review l9
Inspection Line: 503.6.39.4175
— _, j Inepj '` DateiBy: OthcrPermit: 60/ O S
Internet: www.ci.tigard.or.us - 4410. I Date Ready /By: kris: ` la See P 2 for v
Notified/Method:
Supplemental information
TYPE OF WORK
❑ New construction Addition/alteration/replacement PLAN REVIEW
® Please check all that apply:
['Service over 22S amps, oomm'1 ['Hazardous location
❑ Demolition ❑ Other:
CATEGORY OF CONSTRUCTION ❑Service over 320 amps — eating ❑ Buildng over 10,000 sq. ft_,
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 0 Other:
over the stories ['Feeders, 400 amps or more
JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑Manufactured structures or
❑Egress/lighting plan RV park
Job no,:
1 Job site address: 14955 SW 79 Ave ❑Health -care facility ❑Other.
City /State/Z1'P: Tigard, OR 97224 Submit 2 sets of plans with any of the above.
The above arc not applicable to temporary construction service.
Suite/bldg./apt. no.: I Project name: Preston FEE* SCHEDULE
Cross street/directions to job site:
Description 1 QtF I Fee. ! 'Total I ..
New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less I 145.15 4
Subdivision: E a_ add'] 500 sq. ii or portion 33.40
J Lot no.: 1
Tax map /parcel no.: Limited energy, residential _ 75.00 2
DESCRIPTION OF WORK Limited energy, non - residential 75.00 1 2
p � . Each manufactured or modular
Kt rt. "J �,vl) Ott r, Cxl dwelling, service and/or feeder j 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 1 2
❑ PROPERTY OWNER l ❑ TENANT 20l amps to 400 amps 106.85 Name: 401 amps to 600 amps 160.60
I 2
60I amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65
Z
City /State /ZIP: Reconnect only 66.85 2 -
Temporary services or feeders installation, alteration, and /or
Phone: ( ) I Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 I
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 am 100.30 2
Owner signature: 401 amps to 600 amps 133.75 2 -
Date: Branch circuits— new, alteration, or extension, per p anel
❑APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits wish i
Business name: All Pro Electric, Inc, service or feeder fee, each
branch circuit 6.65 2
. Contact name: Kevin Poole B. Fee for branch circuits
without service or feeder fee,
Address: PAIR 280, 6327 - SW Capitol HWY first branch circuit 46.85 2
City!Statc /ZIP: Portland, OR 97239 Each add'] branch circuit 6.65 2
Miscellaneous (service or feeder not included)
Phone: (503) 246 I Fax: : (503) 246 Pump or irrigation circle 53.40 2
E -mail: allproel @corn cast net Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
' CON'TRACTOR energy panel, alteration, or
Business name: extension. Describe: Page 2 1 2
Address: Each additional inspection over allowable in any of the above
City /State'ZIP: Per inspection I 62.50
Investigation per hour (1 hr min) 62.50 1
Phone: ( ) 1 Fax: ( ) Industrial plant per hour I
73.75
CCB Lic.: 148108 J Electrical Lic.: 26 -1099C ELECTRICAL PERMIT FEES*
I Suprv. Lic.: 4630S
Suprv. Electrician signature, required: 7 Subtotal
Plan review- (25% permit fee)
Print name: /f v, ,,, ‘) �foQG L Date: 06/06/06 State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit applirrdon expires if permit is not obtained within 180
Print name: days after it has been accepted as complete
i Date: • Fee methodology set by Tri- County Building Industry Service Board
& Odin ', Permits lE(,C- PcrmitApp.doc 12,03 '" Number of inspections per permit allowed.
440- 4615T(10 /02 /COhxry/p$
1
Electrical Permit Application =J' ° `� FOR oFFicr IJSE ONLY '
City of Tigard J� `� 1•- R
B
`� L . - Permit No.: •
" 13125 SW Hall Blvd., Tigard, OR 97223 6 Plan Review
' Phone: 503.639.4171 Fax: 503.598.1960 e' 200 Date/B : Other Permit:
T7 C A R l7 Inspection Line: 503.639 �`(��� G ` Date Ready /By: Juris: El See Page 2 for
• Internet: www.tigard- or.gov ` � , '�4 i Notified/Method: Supplemental Information
-„r- " 411 i P-il _
,�, / TYPE OFu�WORK ‘..Y 1: � � -. ii, . PLAN REVIEW
❑ New construction Lf1 Addition/al tion"hrpl Please check all that apply:
" ��,
ti ` ❑Service over 225 amps, comet ❑Hazardous location
ID Demolition ❑ Other: -
❑ 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
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
El Multi- family 0 Master builder 0 Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION" ❑Egress/lighting RV park
Job no.: Job site address: %4 q 55% t 79+1\ ekv-e ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: "rvL + 0.4. — V(K o et 7 Z el, Ll The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: ,p ^ FEE* SCHEDULE
G � � , Y\ Description I Qty. j Fee. I Total I ""
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
S o 4N. C4e) Z Ct V'<. 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
(DEBCR TION OF W K Each manufactured or modular
CLO✓A c/ D �� { `F V _ _ v"�' dwelling, service and/or feeder 90.90 2
1 ��(Tj\ ` (' I"t �/ Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
1� t _ _ 401 amps to 600 amps 160.60 2
Name: 0� .V. 4 YKV t SLR 7 r�e �� O� 601 amps to 1,000 amps 240.60 2
Address: 1 '-t 04 55 .bw 7 a o..V .e_ Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: T s (,. C A_ ote._ 0(7 A 9ti Temporary services or feeders installation, alteration, and /or
Phone: (503 62.0 6 O Fax: (' ) relocate n
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, 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 '
DILAPPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
1 C-e. C_ branch circuit feeder fee, each
Business name: 6.65 2
branch it
2 ro�2 B. Fee for service circuits f
Contact name:
without service or feeder fee, / 46.85 2
Address: `7 Q VV \��� v� first branch circuit
Each add'1 branch circuit 7 6.65 2
City /State /ZIP: t 0 OR_ � Li Miscellaneous (service or feeder not included)
Phone: (90-5 (tor lot k Fax : : ( so, 6 �iQ ?i 5)
Pump or irrigation
tl i ne ti g circle a 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:
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: ( ) I Fax: ( ) Industrial plant per hour 73.75
1 ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: Date: State surcharge (8% of permit fee): ,
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 pernit allowed,
I:\ Building \Pennits\ELC- PermitApp.doc 03/23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2- Supplemental Information
LIMITED ENERGY PERMIT FEES:
riftsiriENTIAIL
Fee for all residential systems combined $75.00
Check Type of Work Involved:
111 Audio and Stereo Systems*
El Burglar Alarm
. . .
Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
Vacuum Systems*
El Other: •
COMMERCIAL WORICAJNI —
Fee for each commercial $75.00 • .
.„
system •
(SEE OAR 918-260-260)
Check Type of Work Involved:
•
. .
111 Audio and Stereo Systems • • • •
El Boiler Controls •
El Clock Systems •
El Data Telecommunication Installation
El Fire Alarm Installation •
fl HVAC
El Ins trumentation •
LI •
Intercom and Paging Systems
LI Landscape Irrigation Control* • •
LI Medical
El Nurse Calls
El Outdoor Landscape Lighting*
E l Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\BundingTermits\ELC-PermitApp.doc 03/23/06
f
Mechanical Permit Applica .. FOR OFFICE USE ONLY
Received
City of Tigard 't� Date/By. Permit No.:
13125 SW Hall Blvd., Tigard, OV97223 '
Plan Review
Phone: 503.639.4171 Fax: 503. 596.1960 t 10 4 ,rbry +� ,
C� B DaDate/By. Other Permit:
Inspection Line: 503.639.4175 N\ k _111" 1 I Date Read )aria:
Internet: www.ci.tigard.or.us Y'� Ready /By: Supplemental See Page 2 for
{�{ _ , 0 V'a - f � : N o ti fied/ Method: Supplemental Information
CTY PE.OFa; (bit K COMMERCIAL FEE* SCHEDULE - USE'CHECKLIST
❑ New construction �
4dttto� • at irt/` 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: $
I� t - and 2 dwellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: A y Q 5s ,t 7ct 4 cwt.__ Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: T rj sek_V CiL__ a V es 7 22, If Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: v trt -v to Gas heat pump 14.00
Cross street/directions to job site: Duct work 1 14.00
� Oe_A—\,... n � YN; Hydronic hot water system 14.00
Q� 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
3 VWvV Ovir 11 Gas firepl 10.00
�` 1 �1 /v"�V� Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER El TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: ZO‘Oe3r4-- A- \( V ' R V -es-icov Environmental exhaust and ventilation
Address: �.qq� 4 Range hood/other kitchen
14 q 5s Sw 7 CtV �- f �-�r equipment I 10.00
City /State /ZIP: "rt. "rt. S.Vc d ° I 7 21..J4 Clothes dryer exhaust 10.00
1 .2.0 a 1% e v
Single-duct exhaust (bathrooms, room,
Phone: ( 3 Fax: ( ) toilet t compartments, artmertments, utilit rooms ) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
t C Other: 10.00
Business name: 1p) �� V ,o-e Fuel piping
Contact name: 1: SS1-Q S5.40 for first four; 51.00 for each additional
Address:
.� O 1 k-e \ -e 0 .4 vd, Furnace, etc.
Gas heat pump
City /State /ZIP: (c d2 C t7C5f3(4 Wall /suspended/unit heater
Phone: (5a CY:I 7 kcyS \ Fax: : ( Esc ir7 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
lP, \-.v �„ / _ n Clothes dryer (gas)
Business name: CJ� v �„iC Other:
Address: lQ"
7b v \1 e� YCL MECHANICAL PERMIT FEES*
City /State /ZIP: k......0 R__ `"� C17 d3C1 Subtotal
Phone: ( 0 7 I es I Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: (2 L v State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: O. / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1;1 - r S .h" Date: 6/5"A 6 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC- PermitApp.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.
i:\ Building \Permits\MEC- PermitApp.doc 12/03 2
Jun 07 06 06 :35p TOP NOTCH (503)682 -0560 p.1
06/07/2008 09:42 FAX 5035981980 CITY OF TIGARD a uvl
CITY OF TIGARD o
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE %1 \f .
TOP NOTCH PLUMBING JUN 2006
PO BOX 2676
WILSONVILLE, OR 97070 •
CITY O 4 TT R
Plumbing Signature Form BU1.,�7
Permit #: MST2006 -00108
Date Issued: 6/7/2006
Parcel: 2S112BD -02200
Site Address: 14955 SW 79TH AVE
Subdivision: DURHAM ACRES
Block: Lot 044
Jurisdiction: TIG
Zoning: R-4..5
Remarks: Kitchen addition.
•
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing
permit to be valid, prior to the start of the work to the address above, your and return this Plumbing
Signature Form p Building Division.
s an .
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
PRESTON, ROBERT J TOP NOTCH PLUMBING
14955 SW 79TH AVE PO BOX 2676
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone #: Phone #: 503 - 570 - 7777
Reg #: L i M 3-448PB
E
AN INK SIGNATURE IS REQUIRED ON TH FORM
X �� l
Signature o k horized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
BUILDING DIVISION .� PERMIT #: MST200& -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 517/2000
Phone: (503) 639 -4171 , , u ' 'A ilnNIlI
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' ° _ -
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 24
C :,r1 1 `c.` -
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -105
Inspection Request Scheduled For: Date: 11/290006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040387-04 503 -997 -1051 N
Corrections /Comments /Instructions:
r
n -ASS n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: G k Date: II 11 O 6. Phone #: (503) 718- 7 61
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 001013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 At°
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 25
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition..
OWNER: PRESTON, ROBERT j, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040387 -03 503 - 997 -1051 N
Corrections /Comments / Instructions:
PASS l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6/44P Date: fd ' 9 d Phone #: (503) 718 - Z gr
r CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 06 -0010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 - r a 1 6y �� d ?
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'� I
• INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 26
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 - 997 -1051
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040387 -02 503.997- 1051 N
Corrections /Comments /Instructions:
PASS [ 1 PARTIAL APPROVAL 1 I CANCEL - n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: � f�7 r Date: 41 4 Phone #: (503) 718- 21;9
I _ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IMMST2006- 00106
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 -1141140111t
Inspection Requests (24 Hrs.): (503) 639 -4175 AA IL
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 27
SITE ADDRESS: 14956 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503-997-1061
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040387 -01 503 -997- 1051 N
Corrections /Comments/ Instructions:
X DASS n PARTIAL APPROVAL 1 CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r✓/ Date: t'r /Z1 /Ot; Phone #: (503) 718- /
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8!7,0005
i roti Phone: (503 ) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1012006 TIME: 7:04AM PAGE: 27
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503.997 -1051
Inspection Request Scheduled For: Date: a1100o06 Pour Time:
Code • a • - • • • 1- . •tion Confirm # Contact # Message
120 Electrical rough -in 034735.01 503 -515 -7535 Y
Corrections/Comments/Instructions:
PASS I f PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
n \ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: olobi.... Date: 2 `() 66 Phone #: (503) 718- 24
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IviST200G 001t)Q
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 ll'ill (
Inspection Requests (24 Hrs.): (503) 639-4175 P__..
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06Am PAGE: 32
SITE ADDRESS: 14865 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503.997 -1051
Inspection Request Scheduled For: Date: 0/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 034576 -01 503-997-1051 N
Corrections /Comments /Instructions:
r
C PCI-tr1fio C ; ;Cr Sure LV1t50,S 1 IQ
at CALliaits P A •
•
pctib.110 . a° iZe i tfilL ri pill 2 I 0 ►62, nrc
ct ik LL 1i tAL6, 0 116TCAWI b 1 s .
t k 6N 2:6 & tiv cl u.)411-
(ti NO 46.ftf3olc ■At\mi mat.; 0 I 6 A INO 1 iXttvp
..). 2. c CT 5 NI 1 ika 1..P. 6i4
❑ PASS I 1 PARTIAL APPROVAL n CANCEL n NO ACCESS
4 FAIL )CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S `It' 0 (;) Phone #: (503) 718- 144'
1 . . . 4
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2.00 €r -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2005
Phone: (503) 639 -4171 �� iII
Inspection Requests (24 Hrs.): (503) 639 -4175 !J'
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 :07AM PAGE: 10
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON .
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 - B97 - 1051
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 033778 -01 503-997-1051 Y
Corrections /Comments/ Instructions:
\1(\
Oi
- gj _,,,,, _ y -
V IPASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ` ADDITIONAL FEES ASSESSED "Pi
Inspector: / Date: 1 ' -2 6 1 Phone #: (503) 718- - /
•
CITY OF TIGARD &All' ,
BUILDING DIVISION PERMIT #: MST2006-00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/ 40 %0 Phone: (503) 639 -4171 A Ip��ii0
Inspection Requests (24 Hrs.): (503) 639 -4175 :' AL
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 12
SITE ADDRESS: 149566 SVV 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT/#: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503-997-1061
Inspection Request Scheduled For: Date: 8/1812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message /
2100 Insulation 035245 -01 503 -784 -3887 Y MO �
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL [1 CANCEL ❑ NO ACCESS
_ FAIL ❑ CALL FO' INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N Date: 5 //0 Phone #: (503) 718
CITY OF TIGARD
r, BUILDING DIVISION PERMIT #: MST200&. 0010£1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/7006
Phone: (503) 639- 4171d4�lfiiiiiik
Inspection Requests (24 Hrs.): (503) 639 -4175 _� __..
,
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06Am PAGE: 30
SITE ADDRESS: 14965 SW 79TH AVF CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: O44 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 034830 -01 603.997 -1051 Y
a 3S A-..cC6k,,is
Corrections /Comments /Instructions:
/ .�r t ip - s,,.ri , .ci4. ,, :c.ZO.� �-: ---771 .r7 �i:r 44
/--
PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
I FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Date: e--//-e& Phone #: (503) 718- 2
IV OF TIGARD
LDING DIVISION PERMIT #: MiST2f�060010>3
1 ,i125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /aiN�lpn�oglj�hl
Inspection Requests (24 Hrs.): (503) 639 -4175 ; _.. = W 'II.
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7 PAGE: 31
SITE ADDRESS: 14966 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT ,J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -957 -1051
Inspection Request Scheduled For: Date: 818/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas Line 034576 -02 603- 997 -1061 N
Corrections /Comments/ Instructions:
4 A
ArI PMP—
_
PASS ❑ PARTIAL APPROVAL fI CANCEL I I NO ACCESS
FAIL • CALL F•R INSPECTION 1 1 ADDITIO AL FEES ASSESSED
�i Date: a � _ Ph one #: (503) 718 - 041°'‘
� "
Inspector: �2 r ( )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: r2cact6.001a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 617/2006
Phone: (503) 639 -4171 i���ii�i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: W14/2006 TIME: 7:16AM PAGE: 12
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON -
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 - 997 -14351
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 033130 -01 503 - 997.1051 Y
Corrections /Comments /Instructions: / / ��
4 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7-/4-,7 Phone #: (503) 718 - 2..4-4A----
,
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MST2006-00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 it it°Pl i i i i :_..
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7705AM PAGE: 20
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF ORK:
DURHAM ACRES 044 W
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503.997 -1061
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 032989 -02 503 -997 -1051 N
Corrections /Comments /Instructions:
/ iOw 'L .- ' cv't'S ----7- " 46 Z� .4J4 -1 4 " C/-dof i /la 7
,lp / acu,s 4 ``yam- g//9,0 4, 4-1 e_ 4
1
1
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n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L -I'Arc' CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: i _ Date: --/fr—. Phone #: (503) 718- c
1 .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: "hill' 6(1/2006
Phone: (503) 639 -4171
A NNiy�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' °
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 19
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection q ection Re uest Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 032989 -03 503- 997-1051 N
Corrections /Comments /Instructions:
S ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: = Date: 7 .---- / 2 - 1 '. 1-6 ' Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &712006
Phone: (503) 639 - 4171 ��i�plti�l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 21
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON. ROBERT ,.I, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503'997 "1051
Inspection Request Scheduled For: Date: 7112/2006 Pour Time: 900
Code # Inspection Description Confirm # Contact # Message
205 Footing 032989-01 503997 -051 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: dim Date: �--��• Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION � ' - PERMIT #: MST 0010
13125 SW Hall Blvd., Tigard, OR 97223 OP DATE ISSUED: 6/7/2006
Phone: (503)'639 - 4171 +d4Nup'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' W -__..
INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 7/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 032914 -02 503 -997 -1051 N
Corrections /Comments /Instructions: I
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n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘4,41 ( Date:-.) /\ `A 6, Phone #: (503) 718- L" 7
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 617/2006
Phone: (503) 639-4171 � �/Lioip l iit:
Inspection Requests (24 Hrs.): (503) 639 -4175 - :_I
INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:00AM PAGE: 213
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT ..1, , PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: 2:00 '
Code # Inspection Description Confirm # Contact # Message
205 Footing 032914 -01 503- 997 -1051 N
Correct' ns /Comments /Instructions:
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I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
. Inspector: " V(; Date: --- )A ( Phone #: (503) 718- 2_ 2
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M;ST2006 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 e mu 4N�In
Inspection, Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 7/1112006 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -1051
Inspection Request Scheduled For: Date: 7/1112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 032914 -03 503 -997 -1051 N
Correct' ns /Comments /Instructions:
N • 1 .. , s "Qte
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PASS n PARTIAL APPROVAL LI CANCEL ❑ NO ACCESS
PAID ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 76% Date: -- 7(• ` / d `p Phone #: (503) 718 - 1)1 2 ?
, ..
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E17I2006
Phone: (503) 639 -4171 AN�fl S iii
Inspection Requests (24 Hrs.): (503) 639 -4175 iit `__ ..
INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:05AM PAGE: .. 5
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: Al P "RED STONE PHONE #: 503.997 -1051
Inspection Request Scheduled For: Date: 7/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear wallslanchors 032871 -02 503- 997 -1051 N .
Corrections /Comments /Instructions:
2 4..../6-7 - ' o y
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ei FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.-- g ‘ Inspector: , Date: -J D & Phone #: (503) 718- 29-eK
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639 -4171 J 1 1 1111 Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:05AM PAGE: 6
SITE ADDRESS: 11956 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE _OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT JI, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 7/10/2006 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 032871 -01 503 -997 -1051 N
Corrections /Comments / Instructions:
❑ PASS PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
A n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ,"( Date: 7— /O Phone #: (503) 718 - °z4 45"--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00106
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/7/2006
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Phone: (503) 639 -4171 asr 11I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:06AM PAGE: 4
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: Kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503 -997 -1051
Inspection Request Scheduled For: Date: 71/0/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing . 032871 -03 503.997- -1051 N
Corrections /Comments/ Instructions:
4l -2 0y
n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector: ' .� Date: 7 / a- Ph #: (503) 718 - I-1 1 5-- P � )
CITY OF TIGARD ill S i
BUILDING DIVISION PERMIT #: 60 f 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u'u �l��ip j � 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ...„_ - IL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 9 q 5 7 � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection ection Re uest Scheduled For: Date: /o —/J 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 - 2-� //3 S' at q97 — /o -C1
Corrections /Comments/ Instructions:
% cz ) . I V ( Y , e-lC. cJt4,7-1 L 4••r- 1,:::: , E L 3 4.17,--`;
f/ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
( FAIL , CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
, t Inspector: ! Date: --/o Phone #: (503) 718 --S"--
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CITY OF TIGARD _
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BUILDING DIVISION PERMIT #: MST2006-00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51 7/2 00 6
Phone: (503) 639-4171 At‘ i
11 1 t
Inspection Requests (24 Hrs.): (503) 639-4175 ,_, 4,
INSPECTION WORKSHEET FOR DATE: 6/8/2006 TIME: 7:03AM PAGE: 27
SITE ADDRESS: 14955 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 044 TYPE OF USE:
PROJECT NAME: PRESTON
DESCRIPTION: kitchen addition.
OWNER: PRESTON, ROBERT J, PHONE #:
CONTRACTOR: ALFRED STONE PHONE #: 503-997-1051 dwi
Inspection Request Scheduled For: Date: 6/8/2006 Pour Time: a00 e-'('
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Code # Inspection Description Confirm # Contact # ■, essag,..
205 Footing 031390-01 503-997-1051 Y AA •
Corrections/Comments/Instructions:
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pi PASS El PARTIAL APPROVAL CANCEL H :
NO ACCESS I
ro
El FAIL \ fl CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
\/(_,;j' e2}—e-- Date: 6 7 " d- P 2_( 2.__:
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Inspector: Phone #: (503) 718-
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