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Permit
e q CITY OF TIGARD f MASTER PERMIT COMMUNITY DEVELOPMENT ' Permit #: MST2007 -00045 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/29/2007 Parcel: 2S1 11 DD02500 Jurisdiction: TIG Site address: 8900 SW HAMLET ST Subdivision: Lot: Project: STEAGALL Project Description: Hobby shop. 1/26/11, Reprinted permit to reinstate for building, electrical and plumbing final inspections. Permit reinstated for 30 days per Mark. PLM fee waived per Mark. BT. BUILDING Floor Areas Required Setbacks Required Stones: 1 Bedrooms: First: 300 sf Basement: sf Left: 5 Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: 5 Detectors: Total: sf Value: $7,290.00 Rear: 10 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: 0 Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: 0 Drywell- Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn <100K: Vents: Woodstoves: Gas Outlets: Furn > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 0 -200 amp: ' W/ Svc or Fdr: Ea add'I 500 sf: 201 -400 amp: 201 -400 amp: W/O Svc/Fdr: 1 Mfd Home /Feeder /Svc: 401 -600 amp: 401 -600 amp: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY • SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF 5N U1 Owner: Contractor: JARED STEAGALL Required Items and Reports (Conditions) 8900 SW HAMLET ST TIGARD, OR 97224 PHONE: 503- 319 -7960 PHONE: FAX: Total Fees: $510.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ules are set forth in OAR 952- 001 -0010 thro . i'' • 52- 001 -0090. You ma obtain . copy o :•ro 1111, ima.L : . . • .- to.OUNC by calling 503.232.1987 or 1.: • : e2344. Issued B • _ _ i1 . _�`.- - • rmittee Signature: Call 503.639 •17 , • 10 a.m. for the next available.inspection date. This permit card shall be kept I • - spicuous place on the job site until completio • • f the project • Approved plans are required on the job site at the time of each ins • : tion. z CITY OF TIGARD MASTER PERMIT t ''' 00045 C OMMUNITY DEVELOPMENT DATE ISSUED: 3/29/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DD - 02500 SITE ADDRESS: 08900 SW HAMLET ST ZONING: R -4.5 SUBDIVISION: STRATFORD LOT: 033 JURISDICTION: TIG PROJECT: STEAGALL Project Description: Hobby shop. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: FIRST: 300 sr BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 7 ,290.00 OCCUPANCY GRP: U1 BORM: BATH: TOTAL: 300 sf REAR: 10 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: GARBAGE D1SP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: • OTHER FIXTURES: 0 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 amp: 0 • 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st WIO SVCIFDR: 1 • SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 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 A: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL 8. 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 It 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 JARED STEAGALL OWNER laws. All work will be done in accordance with approved plans. This 8900 SW HAMLET ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 -319 -7960 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 309.38 REQUIRED ITEMS AND REPORTS 411111111k AP • — .IF I Issu: • = -" Permittee Signature t� G «. �,t��T,i Call 503.639.4175 by 7:00 a.m. for an inspection that bu9i ess 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. Construction Contractors Board permit #: Ft -ra� OW i 700 Summer St NE Suite 300 0 At.) �7" I . f''7t PO Box 14140 Address: i f "" `" Salem OR 97309 -5052 Issued ` ! . � ._ �� Date: O� g 47 �J Phone: 503 - 378 -4621 ktt,z, Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and • plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: A i n 1. I own, reside in, or will reside in the completed structure. A 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ❑ 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR A / m 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners. about Construction Responsibilities on the reverse side of this form. 1707Z ain■-- (S of 16 it applicant) ( (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 Acting ao Y®iir 1)w General Contractor? . e, INFORMATION N4TOCE Ts PROPERTY OWNERS ,',:-OUT CONSTRUCTION RESPONSI:=1UTEES • NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Emplloyer Responsibilities • You Will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in. constructing or to assist in the construction.or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503 378 - 4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax fdr unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503- 947 -1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503- 945 -8091 or www. dor.state.or.us /formspay.htnzll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503- 947 -7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1- 800 - 829 -4933 or visit their web site at www.irs.gov. *Cher Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. • Liability and Property Damage Insurance: • Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. . . .. . • Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503- 378 -4621) or write the agency at PO Box 14140, Salem, OR 97309 -5052. • Property_owner.doc 06 -01 -04 • . ,..-. . q ri— re E r' k • Building Permit Applicati n ' ' ) FOR OFFICE USE ONLY * City of Tigard Received ., y -."-r Permit N. 1.• 7 - DV 4 4 4 13125SW Hall Blvd Tigard OR 9722Kr1 ' 2 ,, Phone: 503.639.4171 Fax: ' 503.598.1968•" / 1: ‘- 11111 2 t) 2007 Date/B • ", 4 U — Plan Review... Date/B : 2 ' • * • 1 , . Al. Other Permit: .-. — Inspection Line: 503.639.4175 , . . L. , I , Date Ready/By: Juris: Ell See Attached Checklist for TIOARD Internet: www.tigard-or.gov k I y lit i JUL-1mi Notified/Method: Supplemental Information i TIPTLIrcrAir- nri F TOT ,t 6 g I nVil t iOR:0 5,1 W I T : ' 13; 0 4 1, 40 '"K r t' ; ; 4 ila i KA 7 MiraijiTrit TITAVOVella „,.iara6,,:.'w . - ,,z??t : ' ' ::A/0 '''. %.,...yr,•:/ • • 74?' =,, 'J New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all P Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the aiarrtra .'1:14*-4:--CLOS work indicated on this application. ,:.;;;;'!": , "=!.,V.Yi!' ,, Othi '.:„.:,.,:..!=t111101V,■, A - . ;':' .:.f '' r-, 41 Valuation: $ D I_ and 2-family dwelling 111 Commercial/industrial *Accessory building 0 Multi-family - Number of bedrooms: Number of bathrooms: 0 Master.builder 1=1 Other: • Mri, 7 1„ , " 2 , 0 Wi r r -7 -Vtriii a a heilitrigliMA OT■lirrk6Yieti6iiiicONZKi4FirlriattA Total number of floors Job site address: : ;1,,,,:,*-• :° .. i 4stardwrm., ....itaatr,„1.044 ''''.ii'Irm: . T , eiso S tAm le-/ .N-ti New dwelling area: square feet City/State/ZIP: -r; Ore 9 9z Y Garage/carport area: square feet Suite/bldg./apt. no.: Project name: /-",?, 2(4 S/ oP Covered porch area: square feet Cross street/directions to job site: C fi- j` /14 // S Deck area: square feet Other structure area: square feet tiR.,, Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: „.&,/...... A 7 0 „by „Go , equipment, materials, labor, overhead, and the profit for the F f.c lz 0 gr k work indicated on this application. -fmtav, , ., , ,,,,,,,a,-, , ,it, , ,,,:,,, :4. A- 1,0 ' t h..6v _sAo -hie Valuation: S ,6.0 dr ya11,- Existing building area: square feet New building area: square feet k Mirirlaki3 Number of stories: 3 ,.....,+ .,, :, '., Name: -i,1 -lein L 5 D IA j14.01fri 0 red 9e/ . Type of construction: Address: 0 el ov D ce, gAl • e ) ie--I -9. Occupancy groups: City/State/ZIP: 77r ,,,,,e „, 02 e•-:) 2. 2 Existing: Phone (5 . 1-e) - (/q './ Fax: ( ) New: , .,., . ..,....„,,,....„.,„ fix Tim.% voiti ,:,,,,..2.,!- 62,077i, c ;.-o NT . -cl Z2 .., . 'Elmo ; m,g :,,, 4 ,, ;;, Ta mp: •.`:',''''.'47tt.,t '' , .-0-, ., ,' ,`", 4,S4m. *,4 ' .! AfegigkA' ' '''"eia :,, - A-- s: , . 4. :i.,-.... ,.., ,,, igt Bus iness name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: 3 _c_A A ii under ORS 701 and may be required to be licensed in the Address: g, 0 o s- (,„ IA? $41 gi SA jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/St-ate/ZIP: 12' 5 , e::7,' .1'zz I( apply: Phone: ( 5o3) 7/ _ - 7 c ‘O Fax: E-mail: 5. & Business na me : :,-::.:7 ; 111111:VORP. EitAVWSWier0 ' ViliatL:;VRV'alhs Address: Structural plan review fee (or deposit): City/State'ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) Total fees due upon application: CCB lie.: . ,/, Amount received: Authorized signati) r. , ,4•40.• / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nam ,, p ,..-e, i f c] Date: Z./X0 * Fee methodology set by Tri-County Building Industry Service Board. i:\8uiding\Pecrnt : UP-PermitApp.doc 03/21/06 440 T( I 1(02/COMIWEB) Electrical Permit Application [ !� FOR OFFICE USE ONLY City of Tigard 1 �V �OO� Received Date/By: SW Hall Blvd., Tigard, OR 97223 Plan Review ir Phone: 503.639.4171 Fax: 503.5 8.'1 0 Permit No.: )Date/By: : Other Permit: TIGARD Inspection Line: 503.639.4175 ate Ready/By: iris: ' ® See Page 2 for Internet: www.tigard - or.gov BT 117 lT ' flhl TT N 'T otified/Melhod: Supplemental Information 2/' � a t � + -s>x�lw: #t � ,�,,,,, _��' �'t:�C�r"'' r r `� �` �r�� rxrt `-'" ,�.;�...�+.- �I w',SS N _ ,� Vi z � �, YPE OR�WORKg ; ' .�4 ;,, � s ` ., . ait t o 7, AN"�RF'!.„;;W_ a ,,,, ig New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. `` .x a , ""� 't• : CAGOR. 1© p 0 15T RT F r f '� 3 i exceeds 10,000 amps at 150 volts or ❑ Floating buildings. k .:,...:.. TE .A. C -7ON : w�� - ''' less to ground, or exceeds 14,000 0 Commercial-use agricultural ❑ I- and 2- family dwelling ❑ Commercial /industrial IA Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ,;, ., ❑ Emergency system. larger separately derived system. i yt RppR"� e "JOB SIT INFOR�NIATION 'AN LrUCA�TtION Addition of new motor load of "A", "E", "1 -2 ", "1 -3", ee .-0:1 '3= ' VfG*"^#Mth . l ..mG ' J y :fit a 4 ❑ ❑ Job no.: Job site address:894) Scu /Z d V'7" S 1 more. occupancy. ❑ Six x or or more more residential units. ❑ Recreational vehicle parks. /Sta /ZIP Cit �.-• ❑ Health -care facilities. 1:1 Supply voltage for more than ❑ Hazardous locauons of? y � � QG, r'� 0/ t / I� � 2 � 600 volts nominal. 1, J Suite /bldg. /apt. no.: Project name: 1 ' � frs. ❑ Service or feeder 600 amps or more. , � .. �,+,t � y+` t K,FEE .....�.,. SCI- rte: IEDUEE � _ . i + ', �, ... Cross street/directions to job site: G ,.,�, S -, _C e /. 1 Description 1 Qty I Fee. I Total 1 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'! 500 sq. ft. or portion 33.40 I Tax map/parcel no.: Limited energy, residential 75.00 2 I, , b u p , "i DES, CRIETI OF WORK : k a ' ii TX (with above sq. ft.) ` / Limited energy, multi - family i i34 / 0/41A /f 74 f'% p ADZip residential (with above sq. ft.) 75.00 2 / Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 I`t. x ®§ PI2 UWNER , r ip Tt);',NANT 7: v ; 201 amps to 400 amps 106.85 2 �� h ice y , 13 -� f 401 amps to 600 amps 160.60 2 Name: " a � �1M� n / "`ti��� �` 601 amps to 1,000 amps 240.60 2 Address: 8 e.c, S`l t, / #44 /e ,S.; . Over 1,000 amps or volts 454.65 2 City /State /ZIP: / C 3gZ L / Temporary services or feeders installation, alteration, and /or / to 4' ' t� relocation Phone: (5?') 9.Dy _ L/17/ Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent • excha• ;--, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 " Branch circuits — new, alteration, or extension, ter panel Owner slgnature_i // ,,,./ Date: 'Z A. Fee for branch circuits with • y� Ar j, ;4 x�„ ` ' :13'' , , ,., , 4 0 COteft PERSON f = above service or feeder fee ce o, * , r a 'o, ,� .:.. • „ . <���`; *; b 6.65 2 each branch circuit Business rtame: . B. Fee for branch circuits without service or feeder fee, f 46.85 QQ�� b .b5 2 Contact name: J ...re4 ) ft e6,3 A 1/ / first branch circuit Address: G 9 00 sW /74 /�75 S • Ea ch add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) �^^ E ma nufactured or modular Ci /State / "LIP: �isA p/� �Z2'f 90.90 2 dwelling, service and/or feeder Phone: (5;03) ?/ 1_ 740 Fax: : ( ) Reconnect only 66.85 2 E $feet 44 // &° .tec A )e c d f9, Pump or irrigation circle 53.40 2 ;,r � � a, � 0 00NRACkTORa,?rt :` r., .:::46: . n Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: e, e0. energy panel, alteration, or extension. Describe: Page 2 2 Address: City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic: Electrical Lic.: Suprv. Lie.: Industrial plant per hour 73.75 € 4 FrLTECTR1„FsAL� r;W: - ' Suprv. Electrician § ignature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: o State surcharge (8% of permit fee): Authorized signature: � S „44,01.,------ TOTAL PERMIT FEE: J �eCt This permit application expires if a permit is not obtained within 180 Print name: �j #' 2 r days after it has been accepted as complete. v 4 �) Date: • Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(II /05 /CO.M/WEB Plumbing Permit Application 4012..0 EFIC F. :US F, ONI City of Tigard Received Permit No a III 13125 SW Hall Blvd., Tigard, OR 97223 Date/By mbrao07._ 0 00 (15" S Plan Review Phon 503.639.4171 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 1. I,G Al:_ Date Ready/By. lwir ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: 7 Supplemental Information °ill �,gY r fir«,"' 4 ¢rid.'lyyN y ¢m y �, # t : -� +• . r ii' `x t "-.tWTI I Orf ,,O Ft WORK ' °••-, . t y°:y 11 ielF C1670C&14 IACIA ❑ New construction ❑ Demolition For special information use checklist Description J Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft for each utility connection) 4,� gyp�a • ��, �+. t�T' r. T-..;: Ft'. CV: ae }fe._y.RW ±.:'t- f•.' }� 4 . � ,t` ycCATEGORY OF: r (�QNSTRUCfION¢ 4. :,a r .�; 4, SFR (I) bath 249.20 ❑ 1 - and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 CI Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Pag 2 ' ai '.dOB SITTEIWF wATIONA7M' LOCAT O I ' Site utilities Job site address: Ci oD 514.) Catch basin or area drain 16.60 City / State/ZIP: r tc Drywell, leach line, or trenc' • .'n 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. lin _ ) Page 2 Manufacturedhom 'titities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain c. nector , 16.60 Sanitary . "ewer (no. linear ft.: ) Page 2 Sto sewer (no. linear ft.: ) Page 2 Subdivision: I Lot n. : ter service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: - - m .., -- k - ^ �,;,_ ., ,? Absorption valve 16.60 :Fl _:•"'` � ;ip r 0.** IPT . .t)F WO4 F i.4 Back flow preventer Page 2 r. A1`• Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 xvaa� ��,,., --: <�:,- ,.:.r:i.�=. ,�;: �. / �_ ... y.w:�_n -�,� �, - - g s •. ing fountain � 16.60 1511 - ROP�ERTi O � � tra viii∎ el 1 " a ;' .r. E s/sump 16.60 Name: � L� 1 ...��- Expansi. I tank 16.60 4. Address: .0 `j (Ai no r -� , i Fixture/se cap 16.60 City /State/ZIP: -r- I Floor drain/fl r sink/hub 16.60 �5il� ' 0 I f 1141/ : ( Garbage dispose 16.60 Phone !J� -I Fax: r a t ai� . e. o. �t r �- . ,. yrx r .. PER ...rrep..., Hose bib 16.60 1 A • r.a ®'iAPPLI' w • 4 `,•L' etf.1 k r If] :UIVTACTtSON .. ° . a s . t . ?, : - a; �y . a 6 .. _. a r [ce maker 16.60 Business name: / /!- J / � / Interceptor /grease trap 16.60 Contact name: 7 i Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) F : ( ) Sink/basin/lavatory 16.60 Tub/shower /shower pan 16.60 E-mail: e:',;4):0_"." rv�} y �� cn. y, ,. y 4 u, la,a i }' ! y a 1 ''cl 41 Urinal 16.60 vr. 4T 7..,•tid"•, . h • .1 , r. ; CUN" • C'TO R 'i .. t ." .s g a . _ ,x x �_.. : tis* �:,: • � •�. +..�. ,.. - ��. s,. t >; d :; .A . '; f rM_ Water closet 16.60 Business name: 6-••-2.4 Water heater • 16.60 Address: Other: City /State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) TOTAL PERMIT FEE Print -name: I Date: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Pomib\PLIN- PamitApp.doc Of/26/06 440.4616T(10/0]KOM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information . Fee Schedule: _ . . _ ......_ . ._ Residential Fire Suppression Systems: "6` ` °: "'`"' 4 , �"' F.ee' e`a 7 Total I Uar " e * Foota e . r � ` PerAl F ee 421 ° a sain .t tie- ; .. • "r ' .. 'tni } Ifx •���,��r 9 . a 3 # x.. �. . ?r Footing drain • 1 100' 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 - I st 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 - t ,..::� '�. Storm & Rain Drain - 1st 100' 55.00:alu0hon:1 , M_�el'II11tiFee.,, s . r _ ?btu K $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 z y':�x; °' � 7'' '�""" % pQt `LF �.yr�f. e e ;( ea) �ea • , . - "Total: additional $10000 or fraction thereof to and F atulre�or� It em t r •P� x • 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 Back flow Prevention Device each additional $100.00 or fraction thereof; to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof; to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000:00 and $ 1.20 for each additional $100.00 or fraction thereof. Fixture Work: a ft' rPlanrReviewyf r Ptum >iagInstallations� Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and } q; y'a" greater, except systems designed and stamped by licensed Fttt ire T p ",�,• �y`�.'- v - N ` y�v 1� Rc ace engineer. fi L. '�" 9 re � ' " `4f 41f AS• P.revlous .. _ Cappedit . AdaedYYYWtltltl :'�F.:7 ❑ New exterior plumbing site utilities for any•complex structure. Baptistry/Font as defined in OAR9I8- 780-0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall 0 Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher -Commercial - Domestic a���d' Drinking Fountain � ; s omet n� OC R19er ! r ' " ' Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. - 3" -4" Car Wash Drain Comments regarding fixture work: Garbage - Domestic Disposal -Commercial - Industrial lee Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and -Bradley _ fees assessed for the sewer increase must be paid before the - Commercial - Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\&riiding\PamiuwuN.Pe mitApp.d« 09/22/06 ■ . . . ■ S ! .I .!1 f ■ ipi-.. - ■ FEB 2 6 1UU7 R E C E V fl 1 I � � ^ c v______- ( ". ��,R 9WSt�7Number 0 7_ 00060 Cle ter Our commitment is clear. en ItS'Vn8 itiv Jre- Screening Site Assessment Jurisdiction '/11 QT T�Date rTCT" 2/ 0 ?. Tx Map & Tax Lot 2.s ,zf _ Owner, .T re ' Applicant el re rird 5QJ Site Address ,5_5 _ arc flAM /p ld 0. Company 5A/.A off_ zx Address S 9'o o 5'ttt a frib Proposed Activity City State Zip J a? 91 y fret,' 4,11/ 54,V Phone 5 31 9 7• b ` Fax By submitting 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. Official use only below this line Official uee only below thin line Official uae only below thin nee Y N NA Y N NA Sensitive Area Composite Map Stormwater Infrastructure maps 1/v Map # ;Z S (..d4 1 11 I O( QS # v62-.C) (1 Locally adopted studies or maps � Other ; Specify L__ IN Specify Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04-9: I Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. f Sensitive areas do not appear to exist on site or within 200' of the site. This pre - screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04.9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. f — I The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comments: • Reviewed By: e Date: 3/7/0 "'t7' Official use only Returned to Applicant • Mail 0( Fax Counter Q 2550 SW Hillsboro Highway • Hillsboro. Oregon 97123 Dale 3/s/ By Phone: (503) 581 -5100 • Fax: (503) 681.4439 o ev ++nc.clesnwnlgaftalceI.4.:? - - Os 2X6 STUDS e lb" O.C. 4 ' W/ R - 2I INSULATION .oN • CITY OF TllGARD - SITE PLAN REVIEW ,` - BUILDING PERMIT NO.MS j.,21 /t) "7 — Oa t V:5-- k' PLANNING DIVISION' Required Setbacks: Approved ❑ Not Approved Side: `) St eet Side: -- -- ' --- 0 O. Front. �— Garage: 7 Rear: 7 8 Visual Clearance: p Apprd ❑ Not Approved II' -4" OVERALL I- IEIGI -IT Maximum Building Height ., feet CWS Service Provider Letter Required: ❑ Yes gNo ❑ R eelve 8.: A/ L� Date: 71 L7 /O7 ENGINEERING DEPARTMENT: Actual Slope: % 8 Approved t Approved 21' -2" 20' '� 12' 34' Site Plan: 0' / Approved ❑ Approved BY: : � '► Date: 7 N otc.>Si. O, ., ii„...,_ , .. ,;,s,c.... . _... ®_ _ _ 10120' — _ -- 0 ---- --y (1) DMA 1 • � 1 ..G"Li a ' ��! II 3 -4 0 0 7 r m II °� ... 17— Oa r a$ - g mz - � = a 11 z E 11 $ Jd D ° I -4 c. m o 1 7- rill L �' !0120' 1 G o 5 e c......t: CITY OF TIGARD - 1 - • BUILDING DIVISION PERMIT #: MST2007 -00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 Alb alb Inspection Requests (24 Hrs.): (503) 639 -4175 ,�' 3 `__. INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 08300 SW HAMLET ST CLASS OF WORK: SUBDIVISION: Si RATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 5033117960 CONTRACTOR: OWNER PHONE #: di .. Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description Confirm # Co - : Message g 310 4) Crawl drain 047283 -01 503 - 3117960 N I I Corrections /Comments /Instructions: —u 4;' � I �� 12. . C) 3 " 6 A 1 • 1 -t.Ne. . . ( ILe RAAA. a-C- . i \ro-c)4/ c=° 4'jar &CCA.A.- ,r--0 ai-- H --i-k ,, (‘‘,A c rc ` —2 1) - 6 i (,, ... e. B 4 � -- ✓� d e--a---C L2 1 l io C__,..I'S‘4.; ...„,, ,,-- r irxivoistmatilaturk ir va--_, 4/ 4 -:5LArt...cd Le."-A--e t kg_ ,51.-v1/4_ , cr - 1,„\ eu _„, kr.,,- v ,,a_... , e._.“ . SI—PASS ❑ PAR AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - Inspector: \'' Date: 1 Phone #: (503) 718 - l Z CITY 'OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2612007 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503 - 319-7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 047197 -01 503- 319 -7960 Y Corrections/Comments/Instructions: R , vD ✓ J 33' Ay) y)1/ZT r sh ! pe 7' CL IL g c '4 p,4 d f (J1�.eP 1� o✓ Cam,,, yPa .,1 C /WT r 1 1 . 4 (jJ P ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL (1 NO ACCESS ist FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Cp. k-19-k,--/ Date: /I9.6) Iv? Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 7;n'm +yljj'i , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 10 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503.316.7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052058 -02 503 - 319.7960 N Corrections /Comments/ Instructions: 0 0 .,.`r AVM .4a [.6 `S 4.1,- 6 it*G 2 ue-re.- (A Pt? PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: . Date: 7-- /G---0 7 Phone #: (503) 718- 2— CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MST 007 -0004r 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 �° .i Inspection Requests (24 Hrs.): (503) 639 -4175 --to- ' °__.. INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503.319 - 7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 050950 -01 503. 31 Y Corrections /Comments/ Instructions: / 0) TE ; de ,A) 4,,ex- eG3 A ). ❑ PASS n PARTIAL APPROVAL ANCEL ❑ NO ACCESS FAIL ❑ CA FOR INSPECTION ❑ADDITIONAL FEES ASSESSED D 7 Inspector: Date: y A Phone #: (503) 718- . CITY OF TIGARD. i ; • BUILDING DIVISION PERMIT #: MST2007- 0004; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503 - 319.7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 050950 -02 503 - 3137950 Y Corrections/Comments/Instructions; i�PASS ❑ PARTIAL APPROVAL ❑ CANCEL ( I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 -2-4 Phone #: (503) 718 CITY OF TIGARD_ BUILDING DIVISION PERMIT #: MST2007- 00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 �V�papic) "j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/2512007 TIME: 7 :17AM PAGE: 3 SITE ADDRESS: 00900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503-319-7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 049093 -01 503-319-7960 Y Corrections /Comments /Instructions: • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED Inspector: , Date:— Phone #: (503) 718- 2..4-41 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 � �4,�nih��, � ,' Inspection Requests (24 Hrs.): (503) 639 -4175 „' y- ` __ . INSPECTION WORKSHEET FOR DATE: 4/1212007 TIME: 7 :00AM PAGE: 45 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: '033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Flabby shop. OWNER: STEAGALL, JARED PHONE #: 503-319.7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/12/2007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message . 210 Foundation walls 046372-01 503-319-7960 Y Corrections /Comments /Instructions: T - AO r7 l-'. i ,. . °V��c4 - -- 7 -2 4- ,0 7 c i$- ;4 6 I. > .a.' ' arzs. -v)2�- — .0 1 / - ' ,,, ' :„_./. a 40' ' ,, .1 46. • ,,,,',./., ..11,:ei J PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date:-- 1 --0'z Phone #: (503) 718- 1-44x CITY OF TIGARC BUILDING DIVISION PERMIT #: MST2007 -00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED PHONE #: 503 -319 -7960 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 052718 -01 503. 319.7960 Y /4 V - Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ 6 LL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: at . At w Date: I t 17.5 / /(7Phone #: (503) 718- 1 \ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 11 SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE: PROJECT NAME: STEAGALL DESCRIPTION: Hobby shop. OWNER: STEAGALL, JARED 0 C404/1/1 PHONE #: 503. 31.9.7960 CONTRACTOR: OWNER 12 4- 7 " / �. 1— e 4 PHONE #: Inspection Request Scheduled For: Date: 7/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120- Electrical rough -in 052058 -01 503-319-7960 N Corrections /Comments/ Instructions: Ak) v iCk141 / t�i7 v nC�,�t Q� C.G�O �,•p C� �' x-ip cr 6 v ve2C9 -c Q Pte /C� rvY . 1 Q P_C 19M. /✓ , . 1r- . # . • d ' , 1 k7 60-1.4 4-14 S IC¢ 7 6Q- to -- e at ( �4 /l/'o.4 Ge_. e `eo v \S"049-/ U PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO .ACCESS AIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 7 -!6 ` Phone #: (503) 718-