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Permit 2 1 IJ y" MASTER PERMIT CITY F T r7" I G A R D PERMIT #: MST2005 -00188 I DEVELOPMENT SERVICES DATE ISSUED: 6/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB 03202 SITE ADDRESS: 10455 SW 90TH AVE ZONING: R -4.5 SUBDIVISION: ASHBROOK FARM LOT: 010 JURISDICTION: TIG Project Description: Bedroom addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 400 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 TURD: sf RIGHT: 5 VALUE: 36,960.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 400 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 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: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 4 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes PRINCE, KEITH D + KRISTIN L OWNER and all other applicable laws. All work will be done in 10455 SW 90TH AVE accordance with approved plans. This permit will expire TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: Phone: 503 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 Reg #: direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 859.07 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issued By : ' �1. 2et . A . 4 • Permittee Signature 1 /477 , _ . ■ i 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. . • • • B Ti 'Idling Permit ApREC 1_,_ ' ' , WED - " , : FOR OFFICE USE ONLY . - ---,-' '. City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 0 20135 eceived i — y —", .,/- R Date/By: 0 / (.../,..) 4.--- ---pa,..., Pemut No.\\NSILZ fav y, ; [UN 1 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 *,fogid, trgik. I i I Date/By: / ( - )1 _ Other Permit: Inspection Line: 503.6394175 Alp- Date Ready/By: i furls El See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGA'Is- ___. Notified/Method: • --/ -- A ... iimm a i Supplemental Information BUILDING DIVISION LLING .\--f- • 4_9--i-1-- es vfk".r..ywvgtfFtwvgtfrposfrnmvmrmzvrAg: :-'mAikopAiwi'4 f 64 • ,, ,-Aiw - 6-61iNii3/41144. ,.'4i4,k4iii'ilWE ,,, ,m , T4r4r4,„tasww.%yoe , ':,.„:_4.1fflictalffa16,* 4: 0 New construction Ell 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 0 Other: equipment, materials, labor, overhead, and the profit for the 411147,491471;1NireatiMakigetSTSYWCAPF,IMMVIMPrO work indicated on this application. 1; '1- and 2-family dwelling 0 Commercial/industrial Valuation: $ / Number of bedrooms: - 5 • El Accessory building n Multi-family 0 Master builder 0 Other: Number of bathrooms: a l z „t i tVil. A,FrttV liAnkPrftM, OkkITPliTRA '-;,','", :.- ''''' ' '' '1 " ::, Total number of floors: ,,, „.,,,..,.',.,:'%, 1 t Job site address: ) 0 q S ( 5 ,. LD , ci ( - ) -k-\ \ ._ New dwelling area20 2 _,„ , square feetape ,..-, „....._ City/State/ZIP: ss \'' e c,k C) V' -712,?_3 Garage/carport area: . square feet Suite/bldg./apt. no.: Project name: Covered porch area: - square feet Cross street/directions to job site: tr\ ir 6 It,./.4 .e )- Deck area: / 2,t, x z f square feet ehtD,C) Other structure area: square feet RE(UIREHT)4A:VOIVIMEit x,-... , '',” , •- .- 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.: equipment, materials, labor, overhead, and the profit for the t Tar6tVtjii'rc,ILg'* t'' work indicated on this application. •*;',,,Q4z7' 11;f1 **41-w. :i-A...•:.?;tN.!''..-mtegWei.e:* Valuation: $ ._(,)\--)\ ..0,AA . N- ct, \f‘ on. .5- .S ‹_ Existing building area: square feet • New building area: square feet 414;FairittfaraVagraWRIPA V'Itt7ILN-WalqiT5 lleaktiRtAM,M Number of stories: , , ;i-mm , 4 - • , ,oaw4 . -tg:„4,.:.,q,6:, , ,e, 3 '.tte6g ti, :i ° Vi;.egA1 4 ,::1K, df,;,.,,, , \ \ Name: ........,... c c . .....,_ ,._....,. Type of construction: Address: 1 0 ‘...\ s S e 1/4„ )1,z) C2 n --N- ..... Occupancy groups: City/State/ZIP: 9 7 7 z .. .-3 '•\. . 7,./0) c"'),,, , Existing: Phone:,(5c,S) 69 2_,..9 ) s q - Fax: ( ) New: 11 45 rviser,,_,s - .,,„„,,---,,,... ,,,z,-,-- -tr- -, ---,, -- - -, ,,, • - • li&WA:itT Z?it.;:tkfl=Als=1VgW4M4;'XliWelVel W-CARet-rK '''' htVW M h,: Tr70i;! 3)4-ek,44-AteZt& ,,,46•;:ii,:-L,-•;1,N.V.,011,,ymi,71„Zq.,,',„,-;Ng,,:g . ';„,•, .:•.c ' • , ,: Business name: S ce..-A..t_e c C.) t C..z a■tc+ , ...e - All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the Ci ty/State/ZEP: applicant is exempt from licensing, the following reasons • apply: Phone: ( ) Fax: E-mail: at WMittr, 01:1;54 xam iic,i,k'ollim a540, ;11:,;,-•:,, Itii'AutSeglin Business name: S,,Liv‘e_ S s `= ) ./3 Nk.€ ,-s ,•,,, ,,,,,,,,,,,,,,,w,g,:,,vv....1.,,,,,,,,,,,,,,,,,,,,.,,, •..,,,,,,,,,,, :,::, • . - •,-.„.• - . ## ,•-• ,, • , • • . ,,,,,,t,•-6 •-,N1,,,, .., - .• • • •,• . • Address: Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) — Amount received CCB lic.: Authorized This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: z. 4 Date: ..._ C /— C)S * Fee methodology set by Tri-County Building Industry Service Board. • iABuildingTermits \ BUP-PermitApp doe 12/03 440-4613T(11/02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist F OR OF US O „ L , , City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date y. Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 // dip it v �v , 24- Hour Inspection Line: 503.639.4175 it ❑Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us z �-" ❑ Other: _ • . - THE FOLLOWING: ITEMS AREREQUIRED`FOR.PLAN REVIEW' , ': rYe.S N:,: 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat /lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ' . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements . and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. • 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS' - . _ . . ' '',,•:' ' '.: 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27' "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\Building\Permits \One - Two- FamilyChecklist.doc 12/03 Plumbing Permi p 1, ., •, FOR OFFICE. ' USE " - ONLY " City of Tigard R eceived Date/By: Permit No.\\ ����, , �'� � � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 11 Phone: 503.639.4171 Fax: 503.59 8 1 a tilj�'ll Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.41 0 1 2005 Date Ready/By: rur s: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information OW CaRIU(JARD FEE* SCHEDULE ❑ New construction BUILDING3tr'litlbhlr For special information use checklist. Description I Qty. Ea. Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) - CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 g1- 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 AND LOCATION Site utilities • Job site address: f DI/ s S cZ : ��� Catch basin or area drain 16.60 City /State /ZIP: r , f r o/ 2_2_3 Drywell, leach line, or trench drain 16.60 ��� t Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 110.00 Cross street/directions to job site: - ©q�� e Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 a. a 6 -\-\-\ _ k c _, O �-- Backwater valve 16.60 Clothes washer 16:60 Dishwasher 16.60 ❑ PROPERTY OWNER I Drinking fountain 16.60 ❑ TENANT Ejectors /sump 16.60 Name: I ' \ \\d\... 1 ` IN (._-Q_ Expansion tank 16.60 Address: / 0 4 s 5 S t \ , c'lp • Fixture /sewer cap 16.60 City /State /ZIP: \.; c6 �J,c-X )," Cl ( 7 '2.-2.- Floor drain/floor sinlc/hub 16.60 v Garbage disposal . 16.60 Phone: (5p, .Z.. C\ s t Fax: ( ) APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: ' L \A 2 C,3 . p J Interceptor /grease trap 16.60 Contact name: 5 ,-A„ A Q .�4\ t,../ ,(_ Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax: : ( ) n Sink/basin/lavatory j 16.60 Tub /shower /shower pan 1 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet I 16.60 Business name: CC \ - Water heater 16.60 .�7epti/� c a� ��J� %.)<.....- Address: Other: City/State /ZIP: • • Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: 25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) 5_ g(J Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\Building\Permils\PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1s 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer- 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or 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: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity by (Fixture) Work Performed Fixture Type: Replace New 'Moved Existing Capped Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru • Cuspidor/Water Aspirator • Dishwasher - Commercial • - Domestic • Drinking Fountain Eye Wash Floor Drain/sink - 2" • -3" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an -Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach./Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the • Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar/Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: i:\Building\Permits\PLM- PermitApp.doc 3/03 Electrical Permit Application - FOR'OFFICE U SE O ,; E c Re ceived City ' of Tigard ECEVE Dte/By: Permt No.s' 13125 SW Hall Blvd., Ti a rd, OR 9 2 Tigard, Plan Review Gear dl�'HP�i� " I Phone: 503.639.4171 Fax: 503.598.1960 i Date : Other Permit: I + B Inspection Line: 503.639.4175 ` 1 ► ,P, - • Date Ready/By: Juris: H See Page 2 for Internet: www.ci.tigard.or.us JUN 01 2005 �� Notified/Method: Supplemental information � 4 . <:.5�cr._s�'o t ' y.�'- �r, .., -'�Tt: .'•* @` 9. k x- Y `,'4`.:.+i4",:,� <`. T.� u•L'idy`R, 'w.« 3 .:.L`: ":. }x:'£ - =C fS.:x,� { .'i::. iru '.T. Si , �._ .., -- -- << -'� 3 r ' � .� w : f t , `'i;'. z A 1 ,. r `'PaL Rk t' . =.., n,�a u x �9 �. <_ s4 ^_s o- Y. rs .v: ��.. , s-.v t ' "" El New construction 4 r Please check all that apply: ��A1V V� ❑Service over 225 amps, comm'1 ['Hazardous location El Demolition Demolition e 196 r: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., ' ' ��- Cr`A4TECn'®R3 ® C,®N TRItCTION ', e �• . . of 1- and 2-family dwellings 4 or more new residential z= >r�,.Fa �� � ie ' , �' a,r;• r �`. .. �+';-t��..:ur�t�.�- " �• n .,.""y.�-.`�-'�+.a�-- �`."�"°»#s Y g [ 1 - and 2 family dwelling El Commerciallindustrial ❑ Accessory building Multi family El builder ❑ Other: ❑S over 600 volts nominal units in one structure ['Building over three stories ❑ Feeders, 400 amps or more ,t,;., .. # "�'r :?+.:, a+ ns•; � �� „a, < =::,,.,Z`*v`- ,��':,°y: �,n =;�: "s�'"',+ ❑ persons red structures or ❑Occupant load over 99 e ons Manufactu 4 OB IT O IO ANb r 62, T ON°; � ” s. �,���� � . s�� � ��«� >= Fl<;������� �, �,.r,�� �.�a.� >z�� ..� %.Z € �� Aare Egress /lightingp1an RV park ❑Health -care facility ❑Other: Job no.: Job site address: / � 4 €� 5 t c ©,tom Submit 2 sets of plans with any of the above. City /State /ZIP: �\% ,,,„......,7 ) ©J' q 7 2/ z_ -s The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: l; CHI E.''':,`;:.''.:;'> .. Description Qty. Fee. Total Cross street/directions to job site: �'\ J_ New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 • 1 Limited energy, residential 75.00 2 Tax map /parcel no.: . ' „ kY` l ,} _ , , k,iigs F Limited energy, non residential 75.00 • 2 .a� f � o , , , : r qtr $r.':3 �; -.� -�, . �c' `� "s , .;;;?: °5.,4,..s,R.�,,.�. ,,.� _ , :: ��, s.' �. �.;§ t ::,,.,���,zY.. =.es�,,<;'� ::Ai,ca1 Each manufactured or modular dwelling, service. and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 -xn--:F'' -`. y; �t' e. �:� ,�:�� =� °nr:,°asa;���,.�a; ��ga� " 45 , ' " ; �,�zas2. '=xu.+z�E , . ; - ,��.P. .,�,, �=� 201 amps to 400 amps 106.85 2 gi-7. -' , 0 Eke, a tt . ' i `- + z � <r °�. °� ` "":."xi` �.��. � o `�,`� � `^�,�x���t�:.'r'°, 401 amps to 600 amps 160.60 2 Name: �` �, � "vn Vi\ C, 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: `� q S u ' t � �� Reconnect only 66.85 2 City/State /ZIP: 7 % �r� /0 C t 9 7 Z. -"S Temporary services or feeders installation, alteration, and/or c , relocation Phone: (S C53 � 2, 9 (S (4 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel >p " 't ~ , vaimo ° a r n . " > a s M.. �® �yP .,, w r ite y . O ` N L=AC ERSOt�T ;,t lmoei A. Fee for branch circuits with r,. ti���s�E ..:?�°�,'�3FU:,».�<!c °'�t,?..s „ x� - ..., sz��"° �.�� n.;a'�� „+ �; �:4�-'..e r� L.w service or feeder fee, each 6.65 2 Business name: branch circuit rA �e �� c ©vim Contact name: B. Fee for branch circuits without service or feeder fee, 1 46.85 2 each branch circuit Address: Each add'1 branch circuit '4 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - • :-; ri » h ”' ` I ;;s"' 'M ' �' "ma "'� :y ' ; '' energy panel, alteration, 4` `� '�xi„��& .�'. s <�Q C'�.O aa< � % .r �� gY P or t z • Tti, is +k�a" a 'rsa� � `` __ extension. Describe: Page 2 2 Business name: SC3t �S. cz G ) �'Z _ Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour ( h r min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 N` ErkkfM ME+Ii�1VX!I I;?L,' RMEM; CCB Lic.: Electrical Lie.: Suprv. Lic.: Subtotal • Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. iABuilding \Permits\ELC- PemritApp.doc 12/03 440- 4615T(10 /02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ��?d ".:�,s�ss: ,e- a�.xaw�, xsa.� r�' ,��.rw- ,',.uz�w:�n - r w w ��ma� 3 r"-'€ �„ c`' s :r�:+se'r's:i�' " =�t; ,hk". _.. .'..S«o ....,. -a „z.. ... '�> f ,.9 Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm ❑ Garage Door Opener* Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: r1 `;O1�1Y 1Je"tv�,` .'"'Ql }� ,�;.}a�'_ s,. 751,11•111 Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation - ❑ Fire Alarm Installation n HVAC n Instrumentation • n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is\ Building \Pemtits\ELC- PermitApp.doc 04/03 MAR 31 2005 7:01AM HP LASERJET 3200 p.1 FE % ) MAR 3 1 2005 I File Number L� CleanAker Services U s- oo yA.� Out c6rhmi lent is clear. B Sensitive- Area -!' e-Screening Site Assessment Jurisdiction T J�� _- Date 3/5j/Q5 Map & Tax Lot /5 j 1 �Afr 032 -OoL _ Owner. /('P.cf -1i Site Address / 5C� 9 4 D at)e "T % R . r - 7>a-� Contact Proposed Activity p in 4 via jel Address /pySS :SW 9'0 — 130r-ce de cr7a3 Phone (5r ) 3) S i 2-9'/ -q Official use only below this line Y N NA . Sensitive Area Composite Map Stormwater Infrastructure map Map # 1 S/ (oJO E ' QS n Locally adopted studies or maps 111 CI Other • Specify Specify Rco Cl a. rl 1' • 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: Q 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 LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. • 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 subse ue discovered on our property. • • The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: t1t 11 kart" 5;0hiAsclwfly :wt 24ter 77r e Xrf?r ' . r .a..f.7idr 4 r a "Pees. . 14 14 % 4/ 7xw 1/ 4. P. Reviewed By: Date: y /6 /0S' Returned to Applicant Mail) Fax Counter Date 01, .5 Byi 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3605 • Fax: (503) 681 -4439 • www.cleanwaterservices.4rg . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2006 Phone: (503) 639 -4171 °'l i�i 9'�I Inspection Requests (24 Hrs.): (503) 639 -4175 °__I INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM . PAGE: 33 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 046462 -01 503 - 092 -9154 N Corrections /Comments /Instructions: • 9 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 74 Date: 7" /g�7 Phone #: (503) 718 - r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00f88 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6.14/2005 Phone: (503) 639 -4171 � j � l Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. • INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 16 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038679 -01 503 - 892915 N Corrections /Comments /Instructions: ���6 o r 6 (CI-hr) -ai( � Cr'- 5 • ccrh rL[��Cc . PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: to /7 _ Phone #: (503) 718- '' CITY OF CIGARD BUILDING DIVISION PERMIT #: MST200E 00186 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6114/2005 Phone: (503) 639 -4171 A W� Inspection Requests (24 Hrs.): (503) 639 -4175 z L. ' �.. . INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 15 SITE ADDRESS: 10456 SW 90TH AVE CLASS OF WORK: • SUBDIVISION: ASHBROOK FARM LOT #: 0 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038679-02 503 -892 -9154 N Corrections /Comments /Instructions: 7 SS PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL • I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED • Inspector: cf-F//' Date: to / Phone #: (503) 718- Z/2_9___y_____ • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00188 13125 SW Hall Blvd., Tigard, OR 97223 -- DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 A l Ill i(I. l Inspection Requests (24 Hrs.): (503) 639-4175 L__ INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7 :00AM PAGE: 12 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D a- KRISTIN L, PHONE #: ' CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038179 -01 503-892-9154 N Corrections /Comments /Instructions: "D ccV1 4.5 t. -' _ r ' /7 etai_ De . P . / •7 7C 'taA, tb °n r .S t4— C - > P 64, __ 1 /1 /0 0 /: ' ...?-4 k ❑ PASS - PARTIAL APPROVAL ❑ CANCEL NO ACCESS AIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Cita> Date: /0 - QC. Phone #: (503) 718- �z( „.. .. CITY OF TIGARD 1 BUILDING DIVISION PERMIT # : MST2005-00108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 04/2006 Phone: (503) 639-4171 A 111 . 6 i■i' • . Inspection Requests (24 Hrs.): (503) 639-4175 ,._.. 'n.. INSPECTION WORKSHEET FOR DATE 2/21/2006 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 10456 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 0 TYPE OF USE: • PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition.. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/210006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 027230-01 503-0919164 N i Corrections/Comments/Instructions: IF,f, PASS I I - A• •• APPROVAL 7 CANCEL 0 NO ACCESS FAIL I i) ,L FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: -'-----• ) Z Zi ' Date: Phone #: (503) 718- CITY OF TIGARD. � BUILDING DIVISION PERMIT #: MST2005.0018B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 i A , 1 � � Inspection Requests (24 Hrs.): (503) 639 -4175 =�! ' ` -_.. INSPECTION WORKSHEET FOR DATE: 8/6/2005 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: s PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503.475 -3190 Inspection Request Scheduled For: Date: 0/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 012942 -01 503.892 -9153 N Corrections /Comments /Instructions: fi f / !Q PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: h D ate: - (t ' Phone #: (503) 718 - r I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 /0 / 74 4111t Inspection Requests (24 Hrs.): (503) 639 -4175 ALA INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 33 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475.3180 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description • Confirm # Contact # Message 315 Post/beam plumbing 012825 -03 503. 892 -9164 N Corrections /Comments /Instructions: i ✓ // 1 s _ l g (4 1 I g • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 41 Inspector: Tr Date: / G Phone #: (503) 718- CITY OFTIGARD 1 1 BUILDING DIVISION PERMIT #: MST2006 0010 13125 SW Hall Blvd., Tigard, OR 97223 4111‘,,,,,\ D ATE ISSUED: 6/14/2006 Phone: (503) 639 -4171 /�m�in�mgm�� l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 34 SITE ADDRESS: 10466 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503. 475.3180 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 012826 -02 603.892 -9164 N Corrections /Comments /Instructions: ---771}2?j&-7'1 LI) C / -- s # L i ii - ' � .r L� I I, tr / r / ,�' 4F - / _.., " A . A'� /# l d- _ I►l ✓ ii, ._.....i W ,il 1, ❑ PASS APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL 7t.RTIAL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Th / d Date: 4 I. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M T 0O JI} 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61141)005 Phone: (503) 639 -4171 am 4puy@ �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/21/2006 TIME: 7:02AM PAGE: 32 1 SITE ADDRESS: . 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASI- IDROOK FAINT LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Elect.ricei rough -in 027230-02 3-0910154 N Corrections /Comments /Instructions: e i/ Z._ L.I' C. .- e K i= a ((___ -'� . FiA -L- ice 'ASS 11, PAR -IL APPROVAL n CANCEL ❑ NO ACCESS FAIL Vil 'AL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: DateZZ/ ® Phone #: (503) 718 -�� �e gab —� ' . . CITY A~���77U�������� ��m n m OF TIGARD BUILDING ��U��U��U���� PERMIT #: | =�~~^~~~°^^~~" ~°"""~~"~~"~ � &d8T2005-00108 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1 Phone: (503) 639-4171 koidtgoi Inspection Requests �4Hno�:(503)S3Q~4175 A�� -- INSPECTION WORKSHEET FOR DATE TIME � 2121/2006 • 7 :02AK4 PAGE: 31 S|TEADDRESS� �LASSOFVVO WORK: � 1D465G��9OTHAVE SUBDIVISION: LOT TYPEOFUSE� � ASHBR{)()NFARkA #: 010 � PROJECT NAME : PRINCE DESCRIPTION: � Bwdnmummmdditinn. OVVNER� PHONE# ' � PR|k/CE.%�]THD+KR|ST��L. #: CONTRACTOR: O��� PHONE #: Inspection Request Scheduled For: Date: PourTim�� � 21 2.0 0 06 � Code # Inspection Description Confirm # Contact # Message 275 Framing 027230-03 603-892-9154 N Corrections/Comments/Instructions: 4�^ U � 0 ' , ����� # .�� NI PARTIAL APPROVAL -- CANCEL | |N��A��ESS g.Z.SS � || I P2 ^ L OR INSPECTION I I ADDITIONAL FEES ASSESSED ZZ-/ � �� Inspector: Date: Phone #: (503) 718-_ ' • CITY OF TIGARD BUILDING DIVISION PERMIT #: ME+t0011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2006 Phone: (503) 639 -4171 amm 417 l Inspection Requests (24 Hrs.): (503) 639 -4175 0 INSPECTION WORKSHEET FOR DATE: 2/2//2005 TIME: 7 PAGE: 30 -t ._ bates SITE ADDRESS: 1 04155 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASMOROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear walIsfanchors 027230.04 603-892-9164 N Corrections /Comments /Instructions: ra PASS TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: __---- Dater Z/ C)1 Phone #: (503) 718- _ L j • I CITY OF TIGARD e BUILDING DIVISION i PERMIT #: MST2005 -00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2005 /d Phone: (503) 639 -4171 :Nei �iulll)�jl Inspection Requests (24 Hrs.): (503) 639 -4175 .�' a _ .. INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHI3ROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 023088 -01 503 -392 -9154 N Corrections /Comments /Instructions: --- 1/L,.9 ` I (., f, o - e d --J 1 - Q ,S S -- ---- -r 1 Z (/ c - c , 0 .Q.. ;,)---- J ....... . c.---v v_,-.._....17 ---/---6 Itt_ c......_1, 0 ,, e , pirp-Ass, n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v' JL,__. A -- Date \ -2-7 7 7 /hone #: (503) 718- CITY OF TIGARD al BUILDING DIVISION PERMIT #: MST200&00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 �'Npui Adii, Inspection Requests (24 Hrs.): (503) 639 -4175 _.' O U. INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 10456 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear walls/anchors 023087 -01 503-832 -91&1 N Corrections/Comments/Instructions; 4 - C--<--ek z7 s — .QV--t( .�—.. -- C..—,0 i .._ I - I i • I ,' - ( 1 P i 'CA -4.—_, A, .. _ r -..,c\,_)\ 0 0 I I PASS ` PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V F-P642- ,\ l I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED N i , Inspector: Date: I� /� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.001BB 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 /A nmilp��� r l Inspection Requests (24 Hrs.): (503) 639 -4175 �' - I .. INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07AM PAGE: 22 SITE ADDRESS: 10455 SW 90TH A V E CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: (Bt droo addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: Ofl ER PHONE #: 503. 475 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 015305.01 503 -892 -9154 N Corrections /Comments/ Instructions: K.7710 K i • /- o KS f\ _.4 i . elle) Foy � � L� p SdeTzo- 729 MV PASS PI PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FA ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , _ _ Date: / Phone #: (503) 718- - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00188 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2006 Phone: (503) 639 -4171 ■ � 6m�i�l��j Inspection Requests (24 Hrs.): (503) 639 -4175 J J. INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7:06AM PAGE: 20 SITE ADDRESS: 10455 SIN 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 603.476.3180 Inspection Request Scheduled For: Date: 9/60005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 014976-01 603- 892 -9164 N Corrections /Comments /Instructions: _ / <1.-4,-24, ,t /L /-- Gy'� /L.i 4.1 ' /� .-- -- / 2 .4._J r GL∎ C O .�i—� ' /l_ :L - 1./ C= - i PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 9 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: °I`200�0 188 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 - m av ' n�m����� i Inspection Requests (24 Hrs.): (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE: 8/4/20055 TIME: 7 :08AM PAGE: 35 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475-3180 Inspection Request Scheduled For: Date: 814/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Pustfbeam structural 012825 -01 503 -892 -9154 N ;/ Corrections /Comments /Instructions: • / // / 44 ,t66 1 /,..1-76- -2 vim- CA-Ing //� ( 1- # � , — 4.71 -_ - -- -e - • i- , "- / ,,, .� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: F-1 �s Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00Th8 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 , � ' n� ,,,, IiI1 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 43 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475,3180 1 Inspection Request Scheduled For: Date: 6/27/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 010214 -01 503 -892 -9154 N 1 Corrections /Comments /Instructions: I • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / f D a te: to — Z? -O, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST2005 -00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 Gm o� h 4pu�lll������a Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/27/2006 TIME: 7:09AM PAGE:" 42 SITE ADDRESS: 10455 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK FARM LOT #: 010 TYPE OF USE: PROJECT NAME: PRINCE DESCRIPTION: Bedroom addition. OWNER: PRINCE, KEITH D + KRISTIN L, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475 -3180 Inspection Request Scheduled For: Date: 6/27 /2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 010214 -02 503 - 892 -911 N Corrections/Comments/Instructions: / (d✓N( (74 G� l 7 �f z lam, /nE�T crc� )1 - d/L S> // a ?cu+r`—) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: i Date: - '�-- �7hone #: (503) 718-