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Permit r t /5 T 3/ gl /Y . IN CITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00138 COMMUNITY DEVELOPMENT DATE ISSUED: 9/24/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CB SITE ADDRESS: 11084 SW 81ST AVE ZONING: R -4.5 SUBDIVISION: HERB + PEGGY'S PLACE LOT: 026 JURISDICTION: TIG PROJECT: DEES Project Description: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/5/08 ADDING DUCT WORK. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 494 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sr 18,633.68 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: 2 RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: 1 SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: i 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: 1 0 - 200 amp: W /SVC OR FDR: 8 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amplvolt : 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: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable DANIEL & SHIRLEY DEES STUART R EVENSEN REMODELING & DESII laws. All work will be done in accordance with approved plans. This 11084 SW 81ST 10325 WHITEBARK LN permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TUALATIN, OR 97062 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: Contact #: PRI 503 -317 -9441 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -691 -0666 Reg #: LIC 173230 TOTAL FEES: $ 830.77 REQUIRED ITEMS AND REPORTS Issued li Cred 9114 - 4-4 1 / Permittee Signa VallPj' - ,/,( %- 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. v 27 or rfe-% - cA002.,244 s c-. Grisc 4 4 Ilh i ,1 CITY OF TIGARD MASTER PERMIT PERMIT #: COMMUNITY DEVELOPMENT DATES ISSUED: 9/ 2� 2008-00138 9/ / 008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CB SITE ADDRESS: 11084 SW 81ST AVE ZONING: R -4.5 SUBDIVISION: HERB + PEGGY'S PLACE LOT: 026 JURISDICTION: TIG PROJECT: DEES Project Description: 494 sf. accessory structure. 10/27/08 ADDED (1) sink and (1) hose bib. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 14 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 494 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 18,633.68 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: 2 RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: 1 SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 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: 1 0 - 200 amp: W /SVC OR FDR: 8 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /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: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable DANIEL & SHIRLEY DEES STUART R EVENSEN REMODELING & DESI( laws. All work will be done in accordance with approved plans. This 11084 SW 81ST 10325 WHITEBARK LN permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TUALATIN, OR 97062 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: Contact #: PRI 503 - 317 - 9441 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -691 -0666 Reg #: LIC 173230 TOTAL FEES: $ 749.57 REQUIRED ITEMS AND REPORTS 1■ Issued By : i � Permittee Signature : � ' ///r-,.. <or75 .0 6 Call 50 .6 •.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. Il , CITY ®F T I GA R ® MASTER PERMIT PERMIT #: MST2008 -00138 COMMUNITY DEVELOPMENT DATE ISSUED: 9/24/2008 'TIGAItD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CB-08800 SITE ADDRESS: 11084 SW 81ST AVE ZONING: R -4.5 SUBDIVISION: HERB + PEGGY'S PLACE LOT: 026 JURISDICTION: TIG PROJECT: DEES Project Description: 494 sf. accessory structure. BUILDING REISSUE: CUSTOM \ -- STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED . CLASS OF WORK: 9,„1 R' HEIGHT: 14 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 494 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 ST 18,633.68 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: 2 RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: 1 SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN 0 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 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: 1 0 - 200 amp: W /SVC OR FDR: 8 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # 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 DANIEL & SHIRLEY DEES STUART R EVENSEN REMODELING & DESIt laws. All work will be done in accordance with approved plans. This 11084 SW 81ST 10325 WHITEBARK LN permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TUALATIN, OR 97062 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: Contact #: PRI 503- 317 -9441 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 691 -0666 Reg #: LIC 173230 TOTAL FEES: $ 719.22 REQUIRED ITEMS AND REPORTS Issued By / /� � ' ermittee Signature : Call 503.63'. 5 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. .4 : - - Mechanical Permit Application„ f/ FOR OFFICE USE ONLY City of Tigard Date/By: l ( p `0 Permit No.: rbI V / 3 j III fil ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 , ,, • O ' ';1\ t Date/By: Other Permit: Inspection Line: 503.639.4175 TIGARD V . r� Date Ready /By: ®See Pa B e 2 for Internet: www.tigard- or.gov C IT Y ® + 11611 : 0 Notified/Method: Supplemental Information TYPE OE' 3 11 -- ' ..'.: - .' - .. COMMERCIAL, FEE *"SCHED.UI E . -;USE CHECKLIST, Mechanical permit fees* are based on the value of the work ❑ New construction [2-Addition /alteration /replacement 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* .. ' Er 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: //011 / f Air conditioning or heat pump /o / S .9 (requires site plan showing placement) 14.00 City /State /ZIP: /j i (9 � q 7 z3-3 Furnace 100,000 BTU (ducts/vents) 14.00 / Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 *' ��� Hydronic hot water system 14.00 / ".GTE ,.'/A- Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances . , . DESCRIPTION. OF WORK ' - - ,. Water heater 10.00 Gas fireplace 10.00 r _,.2 ._- _-i p... Flue vent for water heater or gas Log lighter 10.00 �p`ni - '� � �'1n/ ,SA °p Log ighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 . 'I . PROPERTY OWNER` ' . . ❑ TENANT , Other: 10.00 Name: 4 i _. ,0'G65 Environmental exhaust and ventilation Address: Range hood /other kitchen vt /-5- /21X equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, q Phone: ( ) 4 3-6 753 Fax: ( ) toilet compartments, utility rooms) 6.80 ;APPLICANT ® CONTACT `P,ERSON Attic /crawlspace fans 10.00 !� 4- • / a...0-17.n._ Other: 10.00 Business name: J t Fuel t rn PP� g Contact name: S w i- f, Gytf $5.40 for first four; $1.00 for each additional Furnace, Address: / 3 el C SG/ �it/� 17.4. -4 Lam_ Gas heat p p � Gas h pump mp City /State /ZIP: 7A.... YC... / pit Gf7Q4 Wall /suspended/unit heater Phone: ( ) 3J7._ rp Fax: : ( ) ‘y / —DL 6 Water heater Fireplace E -mail: Range s o CONTRACTORS - - ' Barbecue Clothes dryer (gas) Business name: / ' �- Other: Address: ...ME CIIANICAL,PERMIT FE *. City /State /ZIP: Subtotal Minimum permit fee ($72.50) 7g' Phone: ( ) Fax: ( ) Plan review (25% of permit fee) . CCB lic.: 773.2 3 O li /d 91 State surcharge (12% of permit fee) g, 70 TOTAL PERMIT FEE g , 2.0 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: S-7(A fi X Date: ///IX g' * Fee methodology set by Tri- County Building Industry Service Board 1:\Building \Permits \MEC- PermitApp.doc 01/19/07 440 -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. 1:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2 `..,q CITY OF TIGARD 'A ° COMMUNITY DEVELOPMENT REC EIVED ,0 13125 SW loll Blvd., Nand, and, OK 97223 503.539.4171 DEC 0 4 t , A108 Electrical Signature Form CITY OF TIQARG 11 1 ft nING DIVISION IMPORTANT PERMIT NOTICE JEROME ELECTRIC PO B0X 791 HILLSBORO, OR 97123 "le'Permit #: MSST2008 -00138 Date Issued: 9/2412008 Parcel: 15136C B-08800 Site Address: 11084 SW 81ST AVE Subdivision: HERB + PEGGY'S PLACE Lot: 026 Jurisdiction: TUG Zoning: R4.5 Project Name: DEES Description: 494 sf- workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 1115/08 ADDING DUCT WORK. Your company has been indicted as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503,624.3661. If you have any questions please call 503.718.2433. No electrical inspections wild be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DANIEL & SHIRLEY DEES JEROME ELECTRIC 11041SW81ST PO BOX 159 TIGARD, OR 97223 HILLSBORO, OR 97123 Phone* phone #: 503. 648 -8144 Reg #: El E 34 -1190 LIC 1581]9 SUP 28775 A I, NATURE IS REQUIRED ON THIS FORM l / ? Sirature of Supervising E riclan Neme (print ) S LIC # TO 39dd ONI OId1O313 30WJ3f E ZL68b9E05 50:0T 800Z /Z9 /ZT I �T/24/2008/FRI 02:13 PM POWER PLUMBING FAX No, 503 244 8825 P, 001/002 -T' k � �o.oc)8 --©o73 Plumbing Permit Application :wilding Fixtures RECEIVED F OR OFFICE 1)tiE over r City of Tigard Receives M g--e�W 1 ■ 13125 SW Hall Blvd -, Tigard, OR 97 2 4 2008 DateB Pl y Permit No.: / ' /• IN Phone: 503.639.4171 Fax: 503.598. d an Review Other Permit No.: D ' Inspection Line: 503.639.4175 Date/By: i TICARD Notified/Method: y orris ®' See Pa e21br Internet: www.ti or OF TIGARD CITY 1 Supplemental IntLrmatlon t,f t `- .- , .- ... -,, ,,r i_- ' :a `'.:." S :q1' 1 1. }:: il' Y 1 y T 7 i "4 411 JI;T` 1 .f. .f. .Y. >•di ' x r _, • � c ,' i i , 5It nI Y f *t l, ,.r12 ;. I I..}F.r,fi'i �p!'1;'I; , ;tiIT_ , d,WH. } _ .:7 :c:Sy,uv i,, »4'v; c;,- t..t 1 I a E (1 �' C C7 1 x_ .'f .,47s e 11: „6_, ,..+.,. l .' •1"H 4s .n. i k . yhq ::i9 5i1. IS ,��: i 11 -4 I 4 ;i ,..t, °'Ly >.s,,,,..�,::: ..��:�T...:,.�. �:.,.:,.: ti.r �. . , ;' - � . iar ::. ... u ,1d.Ci �;.,trw�4� ' ��w� .'_ °., {�L, ',4.�t;`a� 1„( � � ?. L,.�. }rr11 .. ;,..�.,. [] blew construction ❑ Demolition For special information use checklist _ . • - Description I Qty. I Ea. J Total Addition /alteration/replacement ❑ Other: } „ µ ,.,_�,,,,.,,,., r •,,.,,.,: , ,.,._ __. -.- .., .,. _ New 1- y dwellings (includes - - 10 1t f e connection) . 4" 3 �:-,.• L..,: ey! c:; r; 1,,. 5 .; IT^' S:-.: i,:.r;,: `:''tczr ".,gia.f't"^� :.r :�,:.r.:. "`ry - :rl} x : Yr,`; :�. , .. c;rr� „i3,.,13: ;'cs "r iM ,..,.r .., 1 .-..a. ,,.._� I til .I ati C '"r ' 1,.' .._�w..�..:k:1' .,..1,.,,' oc� {.,. ';�9J µ IE.. µ' amr n S for each utility . i » {.. :i;, .s �far;(iF�C C� 7 ,F,t.�Y 1 : Q:'� i.. �i i. Y'' ,:,v: :;.F;Ais'. } Fa �r . 3i_l- !::u iOL. E.47.1 1 � :t ' lit .� r r,� , , c +e,,,;.> r +;;Ti:�441, lezi: 1 I : : la SFR (1) bath 24920 ►I 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building CI Multi-family SFR (3) bath 399.00 0 Master builder ❑ Other: Each.additional bath/kitchen 45.00 ( 9 ft.) .; � ::r_. ti'r:� ^7x� �': +r:t�L,..,.i ... ,.�.. s a. r ..,:;:�l:;,r,.; i rv��: ,..,,.,.: .,, .^r•R:::_ - :c� 1 sprinkler Pate 2 .,,-,-, _ .'..._._.:,__,:. .. . ` "C xr ::.:- v,. . 9., , .- r y 1 -i`' �;�t; ; i t ^.`�..,E ∎-•,.. ,..,. ,,!:;: z ;.. ; :.. . ,. -- 1 1, r.,,',: r , U 4 , ..y .t: :.1 l .F 'A . =, ; 1vtae r, .: +t ,r'� cy i L r ;F....,--,.. 1 .,, .,._......,.. 'r �. 1 . l,. . r .)I' ' ;,.�J, , ).' mF •�i-nx i i.., .�.�t'� ". < .. 9 t�Q•,I:F:.C.'� :i[ ...: r:a .,�,- _... .._... _: .,�.;s:.�:::.:ar..' _ �.'. t' .f :,,, .I4,'r, I te ut lob Site address: / I ag 1f £ J 1St 4---vmtts. Catch basin or area drain 16.60 City/State/ZIP: - ay/ d , Q� 72 I�rywcll, leach line, or trench drain 16.60 Footing drain (no. tinter ft.: _) Page 2 Suite/bldg./apt. no.: Project name: sk Cross street/directions to job site: 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: Lotno.: Water service (no. linear ft.: ) Page Tax map /parcel no.: lx r on valve Fixture ¢ r item m ".,_- _ Absorption .: y ., -,.,..K, :. . , � „ y,;7 , c,'"47:7..-... ; �; c:_ -:- ;;:r xv..� A v r w,. •.::rt, n 1, 4 ,,x_ Asa rF 16 60 ^Q 'L>:'S �^'.r� .. s:.! .'..: ��� t 'xr -• P , w >, ;�. "N," „ii-: y . i:NYnya:!.�r�..:J: >. .0.�� :h .. f'ia:lltr.:,':nr, �:"�`'' .,r , „!.,- �.aC..'. .. : :a E 6 1w`l . S ,,,,,t f R .' ,, i . 6., x = ^� ' l a : .;.,a.fd�as. �' iidr :' kt!.� +i Y,:: xu}.,., �- :..v<xrc.,x�!.;,rae.t- :,,a:iS�» �... .tfa,,::' ",�::��re::::r: i:, ix"'' �, u:.. �wi' i���aa g;:°,. 5 `,' �: i�i�: y" iYSSEwR7nhk :,F,�"�i ":,k:`�: "di�:'I:�I. Y4 BflC1t�16W preventer t Page 2 / g, I ) I _ Backwater valve 16.60 - Clothes washer 16.60 Dishwasher 16.60 ,„.., ,r.. ..,3,;, 3',W ,' : " :� . -,,. •Y. �:M,. , - + p',v , F`;M'k::Af- "a : ,�'r =,:v.,:: .r,: � (, ij 5N1,.: ; Drinking fountain 16.60 �f'�> l )'! r l'- x i Y' ��[� F. ?� ;�� �Slrv�i � � � I � �t W { i a JN r Yn l ,F� �'� . "'dr } ? c � Y 't c .� ,._. 1. . tie rt1 . �^ r?,.. f . �.:, a Ejectors /sump 16.60 1 . •t _::M, t ► - Fixture/sewer cap 16.60 ,, � 1 ^ Expansion tank 16.60 Address: I / ,���� Ciry /State/ZIP_ # / ' �C \ Floor drain /floor sink /hub i 16,60 11,9„116 Phone: Garbs di ( ) Fax: ( ) _ €e disposal I6.60 :77- i;d; r,,:14 . r :. u ' i ,, figro,'M:a(5,r, '_''^ ;F,1 :4 ; v, i! 5r ipe Tr - .7 ?IE Hose bib ' ° r : "(�FIk F^(Carl'r 1�''7' i'� u a wl» n cl r d P �'' O� N 0 0 d �-: 33,zo i. .,h F .. s1 } ,:t:,. '.,.isar.t..1. ix�`t_iil `;�.( h,e ,419 2TI 16.6 Business name: l iox g,y pl u 2 �J id I maker I6 -60 Interceptor /grease trap 16.60 Contact name: 110 J U i `) Medical gas (value: $ ) Page 2 Address: OD boy o(((/ Primer 16.60 I City /State/Z1P: Pro' 1 /t-'t r Q IC 437 Roof drain (commercial) 16.60 Phone: (�) 2 LiN _ 14 Otj I Fax:: (� ,pt/4/_ &-a-S` Sink/basin/iavatory © 16.60 v Tub/shower/shower pan 16.60 E-mail: .i7 x,_..∎,71 47,7.� -, ,ye,; „vr. , a...v.',.;' v .14 ; :, rar Al.17 r... ,:,^.,. ,r,.errt�m...r.^•:. tr �r . 4F , W,: '.'�T � , ei ' f . , ::,...,x.:.,_. ,. + a,:,: =: s`E... - " . n ,,., ...r. 1 .. ;.. »x ,, i -w.l x.�::: ✓'s; ;d'1a.s. T.rC C .. 'P F';, ,.�{ 1'ii':'�.' 4 ` Si ::;+ ..I ltt i : ri. • 1,.'v iI L:�i ^'���' i,. t ,i � ' { , F'r" .ti�,i:-��e���1;,�N,lit � 1� '! ZI �a s I ' u, �� �.�: l.� I :;�1 . -° ' • a" � Water closet 16 60 .w.m:.:y::.� � � _- �r�:�. - �+!i ,., : .- �k:. li, .y>...r.,.�x:l. ir:,:`J Business name: �0 / 4 e Water heater 16.60 Address: 06 2 (l Abu M .t I -�'-vtoyvtajt �, V A. Other: City /StaIP� i.� ( � 7. Residential backflow M inimum p ermit fees $72 Subtotal etAA 2 lvlin imam ermnt fee: ubtoa t l 9 9 t Phone: 3 L �f « f 900 Fax: 603) IN g'S . ST permit 2 5 , CC13 Lic.: 52, '7 g Plumbing Lic. no.:34j -t /p, Plan review (25% of permit fee) - Authorized signature: �- r State surcharge (12% of permit fee) , q, .- TOTAL PER1VIIT FEE 11 ( ' Print name: ! tl!! . mbeo s Date: /6/2,. (O This permit application expires if a permit is not obtained within t. ! 180 days after It has been accepted as complete, *Fee methodology set by Tri- County Building Industry Service Board. I: UluildinglPermit r5PLt5•tp- Pemiutpp•doc 17/07/06 440 -4616T(10 /02/COM/Wn6) Community Development RE CEIVE D TIGARD Request for Permit Action OCT 2 7 2008 RUI G DGARD TO: CITY OF TIGARD IVISIDN Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov Q Applicant Contractor City i ILE(� FROM: n Owner ❑ App ❑ ry (check one) / REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City /State /Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): n CANCEL PERMIT APPLICATION. n REFUND PERMIT FEES (attach receipt, if available). n INVOICE FOR FEES DUE (attach case fee schedule and explain below). x' REMOVE CONTRACTOR FROM PERMIT (do not cancelpermit). Permit #: M 1 9T a<4 q ' 001 2D D Site Address or Parcel #: I 0W 1 / (> £ Project Name: 1 ) 1 i ` 1 7 Subdivision Name: N /i!4— Lot #: L)0 EXPLANATION: 15' 6- ( I r V ) * ., , — .. 10 . i, , • • „ , _ - A -�:J �lkJ> I A 1 D A7 0 g �. _l 1 � Signatu': ' i liz, l i /Z,r242iC /--/ Date: rte Z r/ - d S r� Print Name: AZ 7 ,'Yp Nt ,a -il N 0Vl c Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80 of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. � • FOR OFFICE USE ONLY Rte to Sys Admin: Date . By Rte to Bldg Admin: Date By Refund Processed: Date �_:∎ Invoice Processed: Date By Permit Canceled: Date By .rcel Ta. Added: Date By Receipt # Date Method Amount $ I: \Building \Forms \ReqPermi ' on.doc Rev 07/26/07 I (70 Fif 5 Y . Bur dingy Permit Application Residential �., > Y 4 yz .�,,: "" 'FO OFFICE U SE O.NL TY a+ Received .;°".;.0 a Vii" s r Ci of Tigard Received �/ ' Permit No.: X �y 3p CEA\ " 13125 SW Hall Blvd., Tigard, OR 97223' A O g Pl R ev i ew s Phone: 503.639.4171 Fax: 503.598.1960 c EP �� Date /By: R. I (o Je Other Permit - Inspection Line: 503.639.4175 J Date Read /B 0 See Page 2 for g TI ,, Internet: www.tigard- O GA Ins P A� Ready /By: y / ryry 1 ' ) Supplemental Information 6 r.gov 1 " C I ONI i , Notified /Method: l 6 , 7 . -S� V ` V ` v {�1 ,' TYPE OFD _ a i i ` � e o ., ..• EUIR D DATA RQ 1 AND 2 FAMILY DWELIG LN ❑ 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' CONSTRUCN ( TIOR " work indicated on this application. �( Valuation: S ® and 2- family dwelling III Commercial /industrial c 1 ❑ Accessory building 111 Multi-family Number of bedrooms: ❑ Master builder ['Other: Number of bathrooms: JOB SITE INFORMATION AND'LOCATION e g ugel Total number of floors: Job site address: 11084 SW 81 Ave New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite /bldg. /apt. no.: Project name: ijc Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: 1 1 6 7 square feet 7 IF REQUIRED DATA" COM M1IERCWgLI SE "CH Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Fax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OFWORK 3 ... " l; work indicated on this application. Add a shop at the back �.f ,r 4,,,,, Y of the house. Valuation: $ Existing building area: square feet ti New building area: square feet ® PROPERTY OW NERD 0 TENANT �3 Number of stories: Name: Dan & Shirley Dees Type of construction: Address: 11084 SW 81st Ave Occupancy groups: City /State /ZIP: Tigard, OR 97223 Existing: Phone: (503)863 -6753 Fax: ( ) New: APPL •-s ❑CONTACT- P ERSON �� , NOTICE Business name: SRE Remodeling & Design All contractors and subcontractors are required to be Contact name: Stuart R. Evensen licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 10325 SW Whitebark Lane jurisdiction in which work is being performed. If the City /Slate /ZIP: 97062 applicant is exempt from licensing, the following reasons apply: y: Phone: (503) 317 -9441 I Fax: : ( ) E -mail: Stuart @SREdesigns.com CONTRACT - Business name: SRE Remodeling & Design �BUILD1N2PERMIT FEES* Alfit Address: 10325 SW Whitebark Lane . . ( Please,referr :tofee.sdre'drde) Structural plan review fee (or deposit): `4,7� 36 City /State /ZIP: 97062 7 FLS plan review fee (if applicable): Phone: (503) 317 -9441 Fax: (503) 691 -0666 Total fees due upon application: /6/9 CCB lie.: 173230 Amount received: /6 , Authorized signature: /C / -____________ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Stuart R. Evensen Date: 8/20/08 * Fee methodology set by Tri- County Building Industry Service Board. I:ABuilding \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(I I /02 /COM /WEB) Aug 26 08 08:33a Darren Marchisio 503 -832 -5824 p.1 Electrical Permit Application Olt OFF WE USE uNIA: ' of Tigard Received �-`- Permit No.: 11, 00 35 City g 0® Daleiv : // /` W a 13125 SW Hall Blvd Tigard, OR .'... 1 Plan Review t� G ' Phone: 503.639.4171 Fax: 503.1 t,t, ` '�` ) � '` DateB : Other Permit: Inspection Line: 503.639.4175 ` � . 'cy Date Ready/By: lurk: See Page 2 fur T Internet: www.tigard or.gov V l .�otified/Method: J A Supplemental Information TYPE OF WORK O PLAN REVIEW ❑ New construction ®Addition /altecati tt ,'.i t"9 Please cheek all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stones. [] Demolition CI Other: e0V where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceed. 10,000 amps at I SD volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building untps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pmp. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A `E "1- 2 ", "I -3 100HP or more. occupancy. Job no.: Job site address: 11084 SW 181s Ave. ❑ Six or more residential units. ❑ Recreational vehicle parks. ❑ Health care facilities. ❑ Supply voltage far more than City/State/ZIP: Tigard, Oregon 97223 ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: peso-intto =, I qty. I um I rmwt I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 DESCRIPTION OF WORK (with above s . ft, Limited energy, multi- family 75.00 2 Install new electrical circuits for addition residential (with above soft.) ' Services or feeders installation, alteration, and/or relocation 200 amps or less I 80.30 80.30 2 CO PROPERTY OWNER 1 El TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: Dan Dees 601 amps to 1.000 amps 240.60 2 Address: 11084 SW 181" Ave. Over 1,000 amps or volts 454.65 2 City /State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ® CONTACT PERSON above service or feeder fee, 8 6.65 53.20 2 . each branch circuit Business name: Professional Electrical Systems Inc. B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: Darren Marchisio first branch circuit Address: 22021 S Melva Ct. Each addi branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /'ZIP: Beavercreek OR 97004 Each manufactured or modular 90.90 2 dwelling. service and /or feeder Phone: (503) 680 -0292 Fax: : (503) 632 -5824 Reconnect only 66.85 2 E -mail: DMarchisio @aol.com Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: Professional Electrical Systems Inc. energy panel, alteration, or Address: 22021 S Melva Ct. extension. Describe: Page 2 2 City /State /ZIP: Beaverereek, OR 97004 Each additional inspection over allowable in any of the above Per inspection 62.50 � Phone: (503) 680 -0292 Fax: (503) 632 -5824 Investigation per hour (I hr min) 62.50 CCB Lie.: 167529 Electrical Lie.: Cl 13 Suprv. Lie.: 2624S Industrial plant per hour 73.75 / ELECTRICAL PERMIT FEES Suprv. Electrician signature, required` Le ' te .� Subtotal: 133.50 Plan review (25% of permit fee): Print name: Michael Bachand Date: 08/26/08 State surcharge (12% of permit fix): 16.02 + Authorized signature: �-� Q � � � � a,---, TOTAL PERMIT FEE: 149.52 J Date: 0 8/26/08 This permit application expires if a permit is not obtained within 180 Print name: Darren Marchisio days after it has been accepted us complete. 7 . rlumuing Permit Application Building Fixtures *e.‘Afe'V FOR OFFICE USE ONLV City of Tigard Received _ . � a 13125 S W Hall Blvd., Tigard, OR 4± , : ' DateJBy: S ,�(� /j �- Permit No.: -�j / y � Phone: 503.639.4171 Fax: 50 xpI„ pv G3 C Plan Review (" t No �^"' `GIJ �p T I G A R p Inspection Line: 503.639.4175 _ �� �y Other Permit No.: Internet www tigard or.gov GjC` Q 0 11b to Ready/By: in ' 0 ce 2 for �� � ` \,, � Notified/Method I Supp ental Information �? . �'^��� '��� f4, CHED FEE* SULE' ,� ❑ New construction ❑ DemB#Y' For special information use checklist 1:1 Addition/alteration/replacement Description . ❑ Othe Qty. Ea I Total New 1- 2- family dwellings (includes 100 ft. for each utility connection) ,4,; 3 CATEGORY." OF CONSTRUCTION t = ? -,` , SFR (1) bath 24920 ❑ 1- and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE .INFORMATION.ND LO Job site address: Site utilities l r oW S in) girl Ave 1JV t Catch basin or area drain 16.60 City /State /ZIP: 'T I4 A>�' D i OR 97 2 Z 3 Z 4-S Drywell, leach line, or trench drain 1 6.60 ) Suite/bldg. /apt. no.: l Project name: Footing drain (no. linear ft.: Page 2 Cross street/directions to job site: �(O OZ7�F' OF �Fit Tee- - Manufactured home utilities 110.00 �lC r / Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item S; _ Absorption valve ' CRIPTION OF WORK,< ,= 16.60 � DES Backflow preventer Page 2 Backwater valve 16.60 „p , Clothes washer 16.60 t v�I`7 / 1 ! Om � Dishwasher 16.60 PROPERTYOWNER .:,`" ° Drinking fountain - ' ❑ ` TENANT 16.60 Name: bA iV i Si /2Lt-y b CES Ejectors /sump 16.60 Address: 11011 s Gs) 53'1 /1-V6 N J Expansion tank 16.60 City/State/ZIP: 'Tt p Fixture/sewer cap 16.60 ty 4A 4-0( be 7 7 2 3 1-'f 1J Floor drain/floor sink/hub 'I f Phone: (cjo3) 16.60 r - ` 7 S3 Fax ( ) Garbage disposal 16.60 w ❑ tAPPLICANT "r ` V Hose bib ./ . . ❑ CONTACT' PERSON , ; 16.60 Business name: I maker 16.60 Contact name: Interceptor /grease trap 16.60 Address: Medical gas (value: $ ) Page 2 Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax: : ( ) Sink/basin/lavatory L 16.60 E -mail: Tub /showe t ower p. 16.60 Urinal CONTRACTOR ` ` s° 16.60 Water closet 16.60 Business name: G L. 0 6 L ?4 4 /t../ 8, A/C Water heater 16.60 Address: i f U X X w 9 A 1/c Other: City/State/ZIP: 7/ G, R ' ) Gje 2 7 2 2 ? subtotal Phone: (� j0 ) 6' 2 v s - Fes: ( ) Minimum permit fee: $72.50 -7 50 �j Residential backflow minimum permit fee: $36.25 CCB Lic.: 3 R �t9 f 9 Plumbing Lic. no.: . .7r 7 rj? Plan review (25% of permit fee) Authorized signature: � � � �l Cdea '4cg dZ4 State surcharge (12% of permit fee) 8.-? ,>4 Print name //F� 1 I°D 4/ !C Da te: TOTAL PERMIT FEE �.! 8 . ,,_ 0 $ I Thi 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 \Permits5PLM - PermitApp.doc 12/27/06 440- 4616T(10/02/COM/WEB) — -- Clean Water Services File Number C1eanW��ateer S erv i ces i ive Area Pre-Screening t g Site Assessmen ECEIVEb 1. Jurisdiction: Tigard SEP - K 2. Property Information (example 1S234AB01400) 3. Owner Information CITY OF TIGARL @ D l & Shirley i D 09 R77919 Name: Daniel ee DIUI Tax lot ID(s): __ SI® N Company: — Address: 11084 SW 82st Ave Site Address: 11084 SW 81st Ave City, State, Zip: Tigard, OR 97223 City. State, Zip: Tigard, OR 97223 Phone /Fax: Nearest Cross Street: SW Pfaffle E - Mail: 4. Development Activity (check all that apply) 5. Applicant Information gi Addition to Single Family Residence (rooms, deck, garage) Name: STUART EVENSEN O Lot Line Adjustment fl Minor Land Partition Company: _SIRE REMODELING & DESIGN • Residential Condominium Commercial Condominium Address: 10325 SW WHITEBARK LANE • Residential Subdivision Q Commercial Subdivision O Single Lot Commercial Multi Lot Commercial City, State, Zip: TUALATIN, OR 97062 Other Phone /Fax: 503 - 317 - 9441 E -Mail: 6. Will the project involve any off -site work? El Yes ® No 0 Unknown Location and description of off -site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and /or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Type Name Print /Type Title Signature Date FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state and federal law. [J This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date _ 2550 SW Hillsbard Highway � s Hldlsboro Oregon =97123 hone (503) 681 5100 , Fax (503) 681 -4439 www cleanwatersery ces o g ' f a T OF T 1 J p ® _ lit MASTER PERMIT C H PERMIT #: MST2008 -00138 COMMUNITY DEVELOPMENT DATE ISSUED: 9/24/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136CB -08800 SITE ADDRESS: 11084 SW 81ST AVE ZONING: R -4.5 SUBDIVISION: HERB + PEGGY'S PLACE LOT: 026 JURISDICTION: TIG PROJECT: DEES Project Description: 494 sf. accessory structure. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: 14 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 494 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 18,633 68 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: 2 RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: 1 SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL • FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 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 a mp: 1 0 - 200 amp: W /SVC OR FDR: 8 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 «amps- 1000v: MINOR LABEL: 1000= amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: - > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 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 # 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 DANIEL & SHIRLEY DEES STUART R EVENSEN REMODELING & DESI( laws. All work will be done in accordance with approved plans. This / 11084 SW 81ST 10325 WHITEBARK LN permit will expire if work is not started within 180 days of issuance, or 1 TIGARD, OR 97223 TUALATIN, OR 97062 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: Contact #: PRI 503- 317 -9441 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -691 -0666 Reg #: LIC 173230 TOTAL FEES: $ 719.22 REQUIRED ITEMS AND REPORTS r ,. - _ Issued By, ' . -- � ;.., •- - ----- _¢ , Permittee Signature : ∎�' Call 503.639:4415 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. CITY OF TIGARD - 1 -- BUILDING DIVISION 0 ----= PERMIT #: MST20013-00138 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISS ED: 91 .- _ t. Phone: (503) 639-4171 :NI i j oi 00 ) 14‘A Inspection Requests (24 Hrs.): (503) 639-4175 ,.-_,W -- INSPECTION WORKSHEET FOR DATE: 2/25/2009 TIME: 7:00AM =. E: 13 SITE ADDRESS: 110e4 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 2125/2009 Pour Time: A4A Code # Inspection Description Confirm # Contact # Me - : 699 Mechanical final 080826-04 503-317-9441 Corrections/Comments/Instructions: CV LA....- ‘ CL—v•- •._ , 0.. _ ■ ,...._ ), P A j \-) . VASS 7 PARTIAL APPROVAL E CANCEL El NO ACCESS 7 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED k/Va_------ Date: 2 / 1 0 9 Inspector: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A 0 P -‘ PERMIT #: tvIST2008-00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2008 Phone: (503) 639-4171 ho ll i 41011?' Inspection Requests (24 Hrs.): (503) 639-4175 .-44- 1.,.a 1 14 INSPECTION WORKSHEET FOR DATE: 2/2512009 TIME: 7: 00,411 PAGE: 14 SITE ADDRESS: 110M SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB -I- PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/5108 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 1 0 ) Inspection Request Scheduled For: Date: 2/25/2009 Pour Time: Code # Inspection Description Confirm # Contact # Mess ge 505 Sanitary sewer 080826-03 603-317-9441 .........„—, Corrections/Comments/Instructions: — „4. IO 1 PASS 0 PARTIAL APPROVAL CANCEL fl NO ACCESS . FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: \1 ' (I ___ Date: . Phone #: (503) 718-_ CITY OF TIGARD - / 1 BUILDING DIVISION 0r - PERMIT #: ms 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: q / / 0 113 Phone: (503) 639-4171 et\ , 0111 1 Inspection Requests (24 Hrs.): (503) 639-4175 J 1 I el 0 11 INSPECTION WORKSHEET FOR DATE: 2J19/200 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 , TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf . workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 1 I/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 2/19/2009 Pour Time: ocev Code # Inspection Description Confirm # Contact # Mesi 399 Plumbing final 0130640-01 503-244-1900 C ...—„. Corrections/Comments/Instru fions: 44/ Li t—)_,..cf( 1 i „(2......„. i ' 21 *- . _.. ) -(- , ...nr L..../v•—"\ --- .-- \ ‘,...- L-C j- c\r --W,r-e.s.J--( t."1. i A - --, - • 0 :AS__S - R PPROVAL 0 CANCEL I I NO ACCESS FAIL 1 I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: \L (1-C___ q Date: gi / Phone #: (503) 718- , i • CITY OF TIGARD 7 - BUILDING DIVISION PERMIT #: MST2000-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 904/2008 Phone: (503) 639-4171 /608 1116I i` - e i g' Inspection Requests (24 Hrs.): (503) 639-4175 ___ - 1 —. INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7 PAGE: 7 SITE ADDRESS: 11004 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB 4. PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/5/08 ADDING DUCT WORK. OWNER: DEES, DANIEL 1 SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 12/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 078692-01 503-499-7112 N Corrections /Comments/ Instructions: TAAJ V — ay_ • PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS n FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED t , n Inspector: ''\''------------ Date: f L i -1---- frf ( lhone #: (503) 718- 7--1/41111 CITY OF TIGARD BUILDING DIVISION A PERMIT , # MST2008.00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/200a Phone: (503) 639-4171 :Zeilip Inspection Requests (24 Hrs.): (503) 639-4175 .. ......, INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7:00Aivi PAGE: 36 SITE ADDRESS: 1'1084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: . PROJECT NAME: DEES DESCRIPTION: 494 sf. accessory structure. 10127/08 ADDED (1) sink and (1) hose bib. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 1 0/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postlbeam plumbing 077287-01 503-936-5669 N Corrections/Comments/Instructions: PASS I I PARTIAL APPROVAL Ill CANCEL EI NO ACCESS n FAIL 1 I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: (31 \evaA-A\i\--.......- Date: 1(1 p 0\ \O\ Phone #: (503) 718- CIT F TIGARD BlitrIG DIVISION PERMIT #: MST2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2(10E3 Phone: (503) 639-4171 0 i t ,_, l Inspection Requests (24 Hrs.): (503) 639-4175 4 1 INSPECTION WORKSHEET FOR DATE: 2/6/2009 TIME: 7:OOAM PAGE: 27 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf . workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 603-317-9441 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: .;.. . Code # Inspection Description Confirm # Contact # Message 199 Elect I ical final 080358-01 503-EA8-6144 N Corrections/Comments/Instructions: g PAS • fl PARTIAL APPROVAL 111 CANCEL El NO ACCESS E FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector:, -.- - N66■.. Date: 2 .' — ‘ I Phone #: (503) 718- 7....114b, .. . .. , • . CIT*F TIGARD 0 . BEIrLD NG DIVISION PERMIT #: MST2006-0018 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2008 Phone: (503) 639-4171 • Inspection Requests (24 Hrs.): (503) 639-4175 „IX- I. INSPECTION WORKSHEET FOR DATE: 12/3/2008 TIME: 7:00Am PAGE: 20 SITE ADDRESS: j j()4 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB 4- PFGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/5/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: IL3 61s 3 CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 603-317-9441 Inspection Request Scheduled For: Date: 12/3/2008 Pour Time: Code # lrelon escripti onfirm # Contact # Message 1 4 0 Elretric3ro 1‘ . 1-45 I 078723-01 5036413-5144 N — ATF(k■ — i Corrections/Comments/Instructions: . (FAO ilek )-- \ PASS Ei PARTIAL APPROVAL pi CANCEL El NO ACCESS FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G Me t.. Date: 17-.3 - oil, Phone #: (503) 718- 2-4117 • CITY �*��~�� ������U�������� OF mnm�m�m���� BUILDING DIVISION • ~ ~~~,"~~~°""~~� ~~"°"~°"~,"~ • PERMIT #: h4ST2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2008 Phone: (503) 639-4171 : 4101 11 Inspection Requests (24 Hrs.): (503) 639-4175 .�" 1 """ INSPECTION WORKSHEET FOR DATE: 12/11/2008 TIME: 7 PAGE: 26 SITE ADDRESS: 11O81SW81ETAVE CLASS OF WORK: SUBDIVISION: HERB +PEGGy"SPLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 f. workshop addition. 1O/27/O8 ADDED /ii sink and M\ hose bib. 11yS/0B ADDING DUCT WORK. OWNER: DEES. DANIEL &SHIRLEY PHONE #: CONTRACTOR: STUART REVENSEN REMODELING & DESIG PHONE #: 603.317..9441 Inspection Request Scheduled For: Date: 12/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 078950'01 503'317'9441 N Corrections/Comments/Instructions: K- 6 \^/^1^e-e_' k-Sg 0 /C �4.4—.l C.-,4-7�N _ _....■.. Af ti-ktwir., f �� |ALAPPROVAL �� �AN{�EL __ NO ACCESS �� FAIL A LL FOR INSPECTION 1111 ADDITIONAL ES ASSESSED |n Y � o o�o Date: � / ��� Phone #: (503) 718 �po c ��� � r x ' , ' 718- _ nN / | �,, / / `.. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST)00B-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9n4/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 „alp INSPECTION WORKSHEET FOR DATE: 12/9/2008 TIME: 7:02AM PAGE: ft SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. '10/27/08 ADDED (1) sink and (1) hose bib. 11/5108 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 12/90008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 078892-02 503-317-9441 Corrections/Comments/ Instructions: ms PASS • PARTIAL APPROVAL 111 CANCEL NO ACCESS 4r7orz j CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED Inspector: Date: /Z11/ Phone #: (503) 718- ZZ 417 CITY OF TIGARD BUILDING DIVISION A PERMIT #: iVIST2008-001138 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/2412008 Phone: (503) 639-4171 1490 414 0 Inspection Requests (24 Hrs.): (503) 639-4175 A.61- en.. INSPECTION WORKSHEET FOR DATE: 12/912008 TIME: 7:02AM PAGE: 19 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: £1 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose! bib. 11/5/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 12/912008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 078892-01 503.317-9441 41 A4 - Corrections/Comments/Instructions: 411" -A RT I A L APPROVAL 0 CANCEL n NO ACCESS I FAIL 11 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED i Inspector: \ --..... 7 , Date: [ 1 e) Phone #: (503) 718- b6/ CITY OF TIGARD BUILDING DIVISION A, .= PERMIT #: MST2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912412008 Phone: (503) 639-4171 "zepplii?\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/5/2008 TIME: 7 PAGE: 8 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: . PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/5/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: W3-317-9441 Inspection Request Scheduled For: Date: •2/6/2000 Pour Time: 7 , c o Code # Inspection Description Confirm # _ Message tkr 240 Exterior sheathing 078824-01 503-317-9441 Y 14.K-16-("Fr-S.11)E Corrections/Comments/ Instructions: ` -Lf.1>o fT ---- .1— 2_ 0:: ' ' ' e-- "--47---14-, ,.--t io<---c.--- _........-um.... ... .-- 4VIS PASS 14 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED . - Inspector: Date: i a Phone #: (503) 718- Z_LW „.~ ' CITY ���� ����� �� ���� ~ ��n n n *�"m n u����nm�� BUILDING DIVISION ~°~~"~~~°""~~� ~�"°"~~"~,"~ PERMIT #: hdET2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E/2413000 Phone: (503) 639-4171 Inspection Requests (24Hm.):(SU3)830'4175 2 rd., ' INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7:0OAM PAGE: 8 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: MERS + pEGGy'S PLACE LOT #: 036 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 af. workshop addition. 10/27908 ADDED (1) sink and (1) hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317c9441 Inspection Request Scheduled For: ' Date: 12/4/2008 Pour Time: Code # Inspection Description Confirm # G*” ^ ' ' - Message 240 Exterior sheathing 078792'03 603'317'9441 Y • ^~-- ^/�/ � Cornactiona/(�onnrnento/|nstructiona' _�� � « ~ � . ���� � / �^�� _ ^�-� ��� t Arz__c_ e_ALL.kh___., . �� ( �_—'��^�����L�_ h ^�_' ,- \ ~ - CA -Lk__ --~_-~ ` n 9ASS 0 PARTIAL APPROVAL n CANCEL 0 NO ACCESS |L n CALL FOR INSPECTION n ADDITIONAL F ES ASSESSED ' _-- r ' ( � �7 �� Inspector: 4 At_A_ Datm: \ • Phone #: (503) 718- CITY ��N�~�� ��������������� '` - n »�"m n w��m��m�� BUILDING ��U��U��K���� PERMIT ~�~°"~~~~""°~� ~~"°"~°"~~"~ KAST1O0�'OD'�38 13126SVV Hall 8|vd.. Tigard, ORQ7223 D ATE|SSUED: 9/24/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ",—'SW 112. INSPECTION WORKSHEET FOR DATE: 1 2/2/2OO8 TIME: y:OQAm PAGE: 26 SITE ADDRESS: 11O84EW81STAVE CLASS OFWORK: SUBDIVISION: HERB +pEQGf'SPLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEE8. DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 603-317-9441 Inspection Request Scheduled For: Date: 12y2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shem/wmUs/mnxhmrs 078670-01 503-317-9441 , Y Corrections/Comments/Instructions: . . �� } PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 1 FAIL CALL FOR INSPECTION | |AOO|T|ONALFEESAGSESSEO Inspector: l Date: ri'-- ��-- �/ Phone #: (5O3) 718' � � . CITY OF TIGARD BUILDING DIVISION PERMIT #: msv00a.00138 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/24/2008 Phone: (503) 639-4171 i tiffillptillfr Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7 PAGE: 16 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink and (1) hose bib. 1116/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 12/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 070670-02 503-317-9441 Corrections/Comments/Instructions: Cie Af4./ 4., > 2 .4. s" 0 41 4"•-•/44 1 -/l • - • fl PASS pi PARTIAL APPROVAL fl CANCEL fl NO ACCESS la AIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: , Date: /2--g----z5 "I- Phone #: (503) 718- 251-4/ CITY OF TIGARD ,,_ - BUILDING DIVISION Ai& PERMIT #: MST2008-00138 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/24/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: •2/1/2008 TIME: 7 PAGE: 29 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 cf. workshop addition. 10/27/08 ADDED (1) F.:ink and (1) hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSFN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 12/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 296 Mim. inspection 078593-01 503-244-1900 N Corrections/Comments/Instructions: -- FEY r'/(10* , fl PASS 0 PARTIAL APPROVAL 7 ANCEL fl NO ACCESS 7 FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: /... — z -L- •r Phone #: (503) 718- � CITY OF TIGARD ��uu n ��w� nn���mnn�� BUILDING DIVISION - ^ PERMIT ~°~°"~~~~""~~� =°"°"~°"~~"~ #: kAS��10O8-00 131�SSVVHoUB|vd�.Tlgand.OR07223 DATE ISSUED: 9/34/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,..,-44 "��� INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00A&d PAGE: 26 SITE ADDRESS CLASS OFVVORK � 11084 WORK: SUBDIVISION: LOT #: TYPEOFUSE � H�F�B+PE�GY1�PL� � 026 USE: PROJECT NAME: DEES DESCRIPTION: 494 i addition. 10C27/OQ ADDED (1) sink and /1\ hose bib. 11/6/08 ADDING DUCT WORK. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503'317-9441 Inspection Request Scheduled For: Date: 11M2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 077952-01 503-317-9141 N Corrections/Comments/Instructions: ',4 -- PASS | | PARTIAL APPROVAL | | CANCEL NO ACCESS El FAIL 0 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED CITY OF -- ��mn m ��m TIGARD BUILDING DIVISION PERMIT ~�~~"~~~�""~~= ~�^~"~~"~~"� : KdGT2008'00138 13125SVV Hall B|vd, Tigard, ORQ7228 DATE ISSUED: E124/2008 Phone: (503) 639-4171 Inspection Requn�a(24Hm�:(SO3)G3A'4175 .��t l �� . INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00Am PAGE: 25 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB +pEGQy'SPLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sr. workshop addition, 1027/08 ADDED /1\ sink and (1) hose bib. 11/5/08 ADDING DUCT WORK. OWNER: QEBS. DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317'9441 Inspection Request Scheduled For: Date: 11/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message A/` e8 310 Crawl drain 077953-01 503-317c9441 Y Corrections/Comments/Instructions: ' . . A1 P | | RA RT\ALAPPRCYVAL 0 CANCEL ri NOACCE8S FAIL 0 CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED CITY OF TIGARD BUILDING DIVISION PERMIT #: MSTLICf(1171 ;8 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2008 Phone: (503) 639 -4171 1�a �� l ii Inspection Requests (24 Hrs.): (503) 639 -4175 °'f .. INSPECTION WORKSHEET FOR DATE: •11/12 /7008 TIME: 7 : 00AM PAGE: 24 SITE ADDRESS: i i 084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: I - FRB + PFGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEFS DESCRIPTION: 494 sf. workshop addition. 10/27/08 ADDED (1) sink ;and (1) hose bib. 1 1/5/08 ADDING DUCT WORK. OWNER: DEFS, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSE:N REMODELING & DESIG PHONE #: 503 - 317 -9441 Inspection Request Scheduled For: Date: 11/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 0 125 Post/beam structural 077954-02 503-317-9441 't' Corrections /Comments/ Instructions: -See_ RoTo /U - -5 / - of-e g- 3 3'* /c)/ E l 3 -- `/ y-/2 j i sip./ /.mac) Ma ke Ke Li; Sio*∎ go r a,e C / Si, 13.-; + r4 04/ �, er ) 2) 10', > k ►iav fiked )r6 AA: 1 ec) - All / "A';' /Idle fd .4-- ✓l), 4 t- : • T, ye GId' T (z , t 4 " ) (5 / fB ` S't R%ceir( - (P Jat,4cr )ct e ■ G< i T Cov n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -- Date: /946a 4S Phone #: (503) 718- , 3 CITY OF TIGARD BUILDING DIVISION ,. PERMIT #: IVIST2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91240008 Phone: (503) 639-4171 14. ..litiiit 1 1 6 Inspection Requests (24 Hrs.): (503) 639-4175 ,4.4 61 - INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7: OOAIVI PAGE: 36 SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: 4 — _r w.1 5; accessory structure. 10/27/08 ADDED (1) sink and (1) hose bib. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE #: 503-317-9441 Inspection Request Scheduled For: Date: 10/31/2008 v...r Pour Time: Code # ' Inspection Descripti n C'' . Confirm # Contact # Mes : • 275 Framing 077449-01 503-317-9441 Corrections/Com ts/Instructions: . K N 4-X \ - 2,- \(2,8-&-v./. w.s\--EL,LA „e.)._ y q fvet.k.k. __./ )e; t„c--^ -- 1- 3 Lo 10,--,;) v.. k-e. ( .(/■ Z t a : \e,N CAn<AAJ e s- , ‘4)§t .A----5 k 0 -A-L..; c„, -;--b (7fr sc_ v -rk ----:...3 vyO-J\ if. .) •N 6 IA 9ircet N-1 0----T -x---e — () C/1" r----1 ? %.""-L...'s • ) 1A74 — c&L-C `i \ ,c 1--- 1 #9 PASS pi PARTIAL APPROVAL ‘i5 CANCEL 1-1 NO ACCESS , FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 14, (1 Date: 6 1 Phone #: (503) 718- 2-1 CITY OF TIGARD . BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: M;347008 001, 8 Phone: (503) 639 -4171 Alt° � �p� f �I I Jf2gf tt ?0k3 Inspection Requests (24 Hrs.): (503) 639 -4175 _�� INSPECTION WORKSHEET FOR DATE: 10/10/2000 TIME: 7:O0AM PAGE: 40 SITE ADDRESS: 11084 t31 ;T AVE CLASS OF WORK: SUBDIVISION: HERB PFUt'Y'a PLACE LOT #: 026 OF USE: PROJECT NAME: DEES DESCRIPTION: 494 sf. accessory structure. OWNER: DEES, DANIEL & SHIRLEY PHONE #: • CONTRACTOR: STUART R EVENSEN REMODELING & DESIG PHONE # : 5503. 317 -9441 Inspection Request Scheduled For: Date: 1011W2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 2'10 Fo walls • 076532 -02 503 - 268 -2256 Y Corrections /Comments /Instructions: - / c j� `- / v, .7 `/��/T‹. /AP - /'V' .Z.! _ �r - i ` _ - 1 ^- -is vNG.- - •,--' f� - �∎ - i 1 Z PASS❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 Date: / "O Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: iST2008 OU 1, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/241 Phone: (503) 639 -4171 e. WO /rY Inspection Requests (24 Hrs.): (503) 639 -4175 1 , INSPECTION WORKSHEET FOR . DATE: 10/10/2008 TIME: 7:00AM PAGE: 41 r SITE ADDRESS: 11L1 &1 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT # : 026 TYPE OF USE: PROJECT NAME: DEES DESCRIPTION: `494 sf accessory structure. OWNER: DEES, DANIEL & SHIRLEY PHONE #: CONTRACTOR: S TUART R EVENSEN REMODELING & DESIO PHONE #: 503- 317 -9441 Inspection Request Scheduled For: Date: 10/10/2008 Pour Time 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 076532 -01 503- 201 -2256 Y Corrections /Comments /Instructions: • ,� 9' r'l -;) L /�G iC. Z ' ' '-v/C_ c2,€m CJ / < "; -/- , ", i PASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,t, Inspector: - A Date: /fl /6—v 9 Phone #: (503) 718- ?q cc