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Permit -\ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00372 A DEVELOPMENT SERVICES DATE ISSUED: 12/2/2005 A. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111AC 06700 SITE ADDRESS: 14785 SW 92ND AVE ZONING: R - 4.5 SUBDIVISION: KELLEHER PARTITION LOT: 002 JURISDICTION: TIG Project Description: SF BUILDING REISSUE: MAS22141 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,360 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,356 sf GARAGE: 668 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 267,722.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,716 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILICMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/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: ALL - ENCOMP 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 VISTA NORTHWEST VISTA NORTHWEST INC and all other applicable laws. All work will be done in PO BOX 91459 PO BOX 91459 accordance with approved plans. This permit will expire PORTLAND, OR 97291 PORTLAND„ OR 97291 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: 503 - 246 2336 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 #: LIC 75507 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,669.90 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : _ 9 " - Permittee Signature : ` ��_: 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. 6 1 Building Permit ApJica r n6V ® FOR OFFICE USE ONLY City of Tigard DateBea' d Permit No y > � t �� -� 37— 13125 SW Hall Blvd., Tigard, OR 9722 :SOU 1 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 � �- - *z.G �'; +I •• Date/By M A- J 1'1/2 9Vfj S— Other Pennitmsra�5.. «0.34f . Inspection Line: 503.639.4175 5•f � „ Date Ready/By: kris: ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: 116. Supplemental Information ;ha' giVit � }J/ / TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction ❑ Demolition Permit fees* are based on the value of the work performed. a Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ..f Nizrl- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' JOB SITE INFORMATION` AND, LOCATION Total number of floors: Job site address: )(- 7 O 5 5u.) 42/Ad Ave..- New dwelling area: square feet City /State /ZIP: ft 0et V6, o e. Garage /carport area: square feet Suite/bldg. /apt. no.: Project Covered porch area: square feet �i t Cross street /directions to job site: - J 0 rk `I ' fr q Cu_.) 4z n f,( /( Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST' . Subdivision: iv 4 Lot no.: ,2.. Permit fees* are based on the value of the work performed. Tax map /parcel no.: C? S ' 1 I AC O 700 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK . work indicated on this application. 'iC , We V t l 145-1 Valuation: $ U� Existing building area: square feet N New building area: square feet N PROPERTY OWNER TENANT Number of stories: Name: ( . /1 V 1'17 � ` ✓ I S t e vi 5�t" isT� N . W . Type of construction: • Address: P f 7 O !n( cl I t 5 G) Occupancy groups: City/State/ZIP: (' (jVt ( OM. /A OK q 7 o vi 1 / ( (,'r Existing: Phone: (-v 7 / t2 L(( - j 'J 3 & Fax: (50 tt q 10 - 0 L (/ t(� New: ' • ' 2I APPLICANT CONTACT PERSON NOTICE Business name: / �16i.�1e s ��rs e - x G n-r, s�/ ccli I Z76 ,ii- All contractors and subcontractors are required to be Contact name: J �� /// licensed with the Oregon Construction Contractors Board q � � under ORS 701 and may be required to be licensed in the Address: ` !� (0 S ( jurisdiction in which work is being performed. If the City /State /ZIP: 1 , G,.ve,(1-7ivx et-e-t at � q ? 00 applicant is exempt from licensing, the following reasons _ q /j ( / j p (� apply: Phone: (�G /5 1 " 3 D/ q Fax: : p 665) O - 7 el lo E -mail: 3 () Vl IA (k a 000 4 R -1/ loo ,60/v. • Business name: i 5 &v -(`k in f / G)/) V 15 L V 1 V I S s BUILDING PERMIT.. FEES* Address: ( X 9 ! (� ` l � Fees upon applicatio Please refer to fee schedule. City/State /ZIP: / 1 � i -(- d Phone: (ro b 5 1 / 0 - t(43'3 (a Fax: ( 136-5 ) (9 z4 6 - U / " 114 . Amount received CCB lie.: - 7 7 Date received: • Authorized signature: e.--._v This permit application expires if a permit is not obtained ---• J within 180 days after it has been accepted as complete. Print name: t�� e_S ' S Date: /02 y * Fee methodology set by Tri- County Building Industry Service Board. . i:\ Building \Pennits\BUP- PermitApp.doc 12/03 440- 4613T(I I /02 /COM/WEB) s One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE. USE ONLY Cl ofTigard • . Received iiiik ` r g Date/By: Permit No • ''13125'SW Hall Blvd.,'Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 /" /'iiik' \ ❑ Electrical ❑ Plumbing 0 Mechanical - 24- Hour Inspection Line: 503.639.4175 1 Internet: www.ci.tigard.or.us ❑ Other. . - ' • .,',.,• THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ' ` Yes No N/A Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 1 ❑ ❑ ❑ 3 erification of approved plat/lot. j ❑ ❑ ❑ . 4 Fi district approval required. Name of district: . ❑ ❑ ' ❑ 5 Se, s stem 1ermit or authorization for remodel. Existin• s stem ca•acit . ❑ ❑ ❑ 6 Sewer ; ermit. ❑ ❑ ❑ • 7 Water di- rict approval. ❑ ❑ ❑ ,. 8 Soils repo •. Must carry original applicable stamp and signature on file or with applicatiglt. ❑ ❑ ❑ 9 Erosion contr, ❑ plan ❑ permit required. Include drainage -way protection, silt fen 'design and location of catch- ❑ ❑ ❑ • basin protection, c. 10 3 Complete sets 1 legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Later." design details and connections must be incorporated into the p or on a separate full -size sheet attached to the plan • with cross references between plan location and details. Pl n review cannot be completed if copyright violations exist. / 11 Site /plot plan drawn to scale. he plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation , ifferential, plan must show contour lines at 2 -fV. intervals); location of easements and driveway; footprint of structure 'eluding decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage are: percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bb ts, any hold -downs and reinnbrcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identificatio window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies an' , ecks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member size- . d spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross ion may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, ro: 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 - :vations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater • four foot at building envelope. Full -size sheet addendums showing foundation elevations with dross references-are a.. • table. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details a 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, spacin , rid bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. neere For engid''.. ❑ ❑ " ❑ systems, see item 22, "Engineer's calculations." / 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore _on and shall be shown to be applicable to the •ro'ect under review. - -- :LORISDI " CT IONAL- 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\BUP-RES-PermitApp.doc 2 Mec anital Permit A lication ,�„ FOR OFFICE USE ONLY . City of Tigard Hb k j . / as \ _ Received Date /By Permit No.: i . / • ... 7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 � .0 ,� tt, ., rr" I ; � , Date/By Other Permit: , Inspection Line: 503.639.4175 f,. + 7 1 I DateReadyBy: Saris: 10 See Page 2 for Internet: www.ci.tigard.or.us [NOV ` O - -` , - Notified/Method Supplemental Information 1 k)1'1 t TYPEci�OR� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 'New construction ❑ Ad Jtf/d Rfn/r iIJ J 0nTSION Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* IVl and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building • ❑ Multi - family ❑ Master builder El Other: For special information use checklist. Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating /cooling Li 7 g 5 s , + 1 - 2 - 0 -i( p _ e , Air conditioning or heat pump Job site address: D �J`' t L / r �J (requires site plan showing placement) 14.00 City /State /ZIP: 1 C g CL ✓G_ a_. Furnace 100,000 BTU (ducts/vents) 14.00 f 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: \ 5 a f - -I -6 31,0 q )411(1 Me, Duct work 14.00 `) W Hydronic hot water system 14.00 , Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: oi..) R Lot no.: Flue /vent for any of above 10.00 � /� S l 11 6? � Other: 10.00 , . Q Tax map /parcel no.: Other fuel appliances 'DESCRIPTION OF WORK Water heater 10.00 !!� !, �t / ' h Gas fireplace 10.00 M (GV W R i ail, - (,.� t/ VI�{ Y aLt /m -s Fee, Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 _ Chimney /liner /flue/vent 10.00 VPROPERTY OWNER ❑ TENANT Other: 10.00 Name: l . , ` la 5 e � vi . - S Environmental exhaust and ventilation Address: PA) '3 Range hood /other kitchen I U ��I equipment 10.00 City /State /ZIP: r A G 11 k 4 72(j , Clothes dryer exhaust 10.00 6, - �. (- 01_1(0G Single-duct (bathrooms, Phone: (4 ) i ( 50 a L� Fax: toilet t compartments, utility rooms) 6.80 (JZJ APPLICANT ' CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: , Fuel piping Contact name: Je 1/1/1 1.4i1 E,15.01/1 $5.40 for first four; $1.00 for each additional Address: I o 1 4 (0 Y u n p� (A— _ Furnace, etc. / / Gas heat pump City /State /ZIP: 15e/CU r I- , ` A2 '1 7UG7 Wall /suspended/unit heater Phone: (1)) 1,,)(1 1,,)(1 1, 9 3 � $ Fax:: J) ) gq g - 7LI 20 Water heater / L " /, Fireplace E -mail: 1 1�b(AA l�L ( 000 e j J(Nk\OO , co Range � r CONTRACTOR Barbecue Business name: S�� 6• Lo .Clothes dryer (gas) Other: Address: • 'MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: AzZa 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 i:\ Building \Permits\MEC- PermitApp.doc 12/03 440-4617T ( I I /02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation:'- Permit Fee' $1.00 to $2, 00.00 Minimum fee .72.50 $2,001.00 to '. '000.00 $72.50 for the first $2,000.00 and $2.30 for each addit onal $100.00 or fraction thereof, to an i including $5,000.00. $5,001.00 to $10,000.1 ! $141.50 for e first $5,000.00 and $1.80 for ea h additional $100.00 or fraction th:, eof, to and including '. 0,000.01. $10,001.00 to $50,000.00 $2 .50 fir the first $10,000.00 and $1.35 r each additional $100.00 or fraction 1' ; eof, to and including $50,001,.00. $50,001.00 to $100,000.00 $771.51 for the i t $50,000.00 and $1.25 'or each addict. • .1 $100.00 or fracti a n thereof, to and in • dti ing $100 000.00. $100,000.01 and up $1, 6.50 for the first $100,000.0a'a d $1 0 for each additional $100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 • Electrical Permit App icatio FOI2 OFFICE L S q E ONLY ' City of Tigard 't r :ikt Received f' I"a _ ' Date /By Permit No.: ft — ,, , .. . , 37 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / �'`\ Daze/By Other Permit: Inspection Line: 503.639.4175 NOV ®1 ; ,•� � Date Ready /By: Buds: ® See Page 2 for Internet: www.Ci.tigard.or.us Notified/Method: Supplemental Information f . - GAE OF WY)RK.j_CJARD PLAN REVIEW d' .0 New construction EiNcei9E046413444810N Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential 21 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑ Feeders, 400 amps or more ❑ Multi - family 0 Master builder 0 Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION " 0 Egress/lighting plan RV park Job no.: Job site address: 1 7 $6 5 G q 2 A ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State/ZIP: f t G� G� ✓G� Gfyy applicable to temporary The above are not a construction service. • � P Y Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total I " Cross street/directions to job site: 5w Sri; 1t{ . 5LJ ' Lt4.t t /bve New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: N ft Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: a S f I ( At Ol0 7 00 Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular t( e! L 4 `t - J C r n ^ C (vtCh •• - 5 dwelling, service and/or feeder 90.90 2 1 1 Y I t � l/ V `J Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 • n] � j � / 401 amps to 600 amps 160.60 2 Name: t /V l ` J e/ I (15 601 amps to 1,000 amps 240.60 2 Address: 1 b 1�/ n/ � 1 (. Sq Over 1,000 amps or volts 454.65 2 " /" Reconnect only 66.85 2 City /State/ZIP: Pmt L . �� 1 � 0 Temporary services or feeders installation, alteration, and /or (() ) � "l (0 , a 3 3 t Fax: 02 ,) � - of /_� relocation Phone: �!/ J Fax: �( l/ �(J 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 APPLICANT CONTACT PERSON k Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit • D B. Fee for branch circuits . Contact name: J ( 'Vt ex ` without service or feeder fee, 46.85 2 Address: f ( 5 (\) ( ) � J f a Cr each branch circuit L Each add'I branch circuit 6.65 2 City/State /ZIP: ix GtUe,r ,,r) ! 700 Miscellaneous (service or feeder not included) (�) ( ( 3 ' ) ; i , 7 q Zo Pump or irrigation circle 53.40 2 Phone: C Fax: IJtJ / f.� Sign or outline lighting 53.40 2 E - mail: .j Phu.. ( (- a Coo ld. t�ti pO r cvwN Signal circuit(s) or limited- . CONT CTOR • energy panel, alteration, or extension. Describe: Page 2 2 Business name: R .z.2 S S 2='L s lZ / - Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (1 hr min) 62.50 • Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed. 1:\ Building \Permits\ELC -Perm itApp.doc 12/03 440- 4615T(10/02/COM /WEB Electrical Permit Application - City of Tigard -� Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ?`'"RESIDENTIAL WORK ONLY:, - - ` — ' ' . Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* 0 Burglar Alarm ❑ : age Door Opener* ❑ Heatin: Ventilation and Air Conditioning System* ❑ Vacuum Syste , s* ❑ Other: j COM RCIAL,WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation . ❑ Fire Alarm Insta Iation ____-- ❑ HVAC ❑ Instrumyntation ❑ intercom and Paging S g g stems Y ❑ ndscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 Building Fixtures Plumbing Permit Application V;Tteu .__, FOR OhhICG USL O \Ll City of Tigard eiaY Permit No.: fl y X . 371 • 13125 S W Hall Blvd., Tigard, OR • 97223 NOV � j�05 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /4;r,,,H' », \ Date/By: Other Permit No.: • ^ ' �w �jldL' I" _ 24- Hour Inspection Line: 503.639.4175 CITY o . J -IL.' I -pate Ready/By: tuns: El See Page 2 for Internet: www.Ci.tigard.or.us - � citified/Method: Supplemental Information TYPE OF W WLDING D y V 1SI. N FEE* SCHEDULE M New construction ❑ Demolition For special information use checklist. . Description I Qty. I Ea. 1 Total 0 Addition /alteration /replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 21 l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND ,LOCATION, Site utilities Job site address: i l 7 0 5 W 1. 41 4 A-Ue, Catch basin or area drain 16.60 i I City /State /ZIP: + I ( V G` /}� Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 5 , ` Sal D <W et2 ' Manufactured home utilities 110.00 Cross street /directions to job site: N J l/ "� J �t ` Manholes 16.60 • / 1 tee/ Rain dr connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: N 1 I Lot no.: Water service (no. linear ft.: ) I Page 2 Fixture or item Tax map /parcel no.: a IS (f ( /t C 0 &-../ OD Absorption valve 16.60 DESCRIPTION OF "W,ORK Backflow preventer Page 2 I I,L(/Vln1101! I/1. . , y 0 f & (vl,-,ch /vL- Backwater valve 16.60 sr K Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 4 PROPERTY OWNER I ' ❑ TENANT . 1 Ejcctors/sump 16.60 Name: 1 / t cm, v Get rA/1 601.E Expansion tank 16.60 Address: 0 6 I'I J Fixture /sewer cap 16.60 City /State /ZIP: j/ /{ M � � 6 Cj 7c q ( Floor drain /flo s i n k/h u b 16 Phone: (L)1) , 1,I 0 a 3 l Fax: (50 a ( ,I - 0/1(0(0 Garbage disposal 16.60 Hose bib 16.60 \Id APPLICANT CONTACT PERSON Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: J L, L't , (26-1- ('n Medical gas (value: $ ) Page 2 • Address: g i '( t b 5 I kiiApt l it- Primer 16.60 City /State /ZIP: ILC GL( �Q/l�l/\ /` Q ' 7607 Roof drain (commercial) 16.60 r��j�, I (��/ / / G/�g if Sink /basin/lavatory 16.60 o Phone: ( `"Jl/) s q l- 1 3 b D Fax: : ( :.J 0 { 1 „' D - 1 Zt✓ Tub /shower /shower pan 16.60 E -mail: j ` I� �, (t a U(� u (6 ( /J �( 14 00 ` ( �1' Urinal 16.60 • I CONTRACTOR ( Water closet 16.60 Business name: 5 5/ • Water heater 16.60, Address: Other: City /State /ZIP: 1 / O0 Subtotal 39� Q Minimum permit fee: $72.50 ( ) Phone: ( ) Fax: 51/ � / . Residential backflow minimum permit fee: $36.25 • CCB Lic.: PlumbingLic.no. Plan review (25% of permit fee) State surcharge (8% of permit fee) 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. is \Building\ Permits\ PLMF - PermitApp doe 06/05 440-4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire S uppression Systems: - .:. Site Utilities" , ' , - . - . Qty: Fee.(ea) Total` ,. : Per><riit:Feei , '`� 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 - 1st 100' 55.00 7,201 and greater $309.00 Sewer`• each additional 100' 46.40 Water S - vice - 1st 100' 55.00 1 Medi al Gas Systems: Water Sery e - each additional 100' 46.40 - . Valu ion: Permit Fee: • Storm &Rain g ain - 1st 100' 55.00 $1.00 to 5,000.00 Minimum fee $72.50 Storm & Rain Dr. 'n - each additional 100' 46.40 $5,001. to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or It 11 Qty. ' Fee (ea) Total additional $100.00 or fraction thereof, to and Commercial Back Flow • evention Device 46.40 including 148. 0for the first0. $10,0 1.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Preve.tion 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 dwelli 65.25 $2 ,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 specially requested inspections - per hi r 72.50 and including $50,000.00. Su bto ;1 I $50,001.00 and up l $742.00 for the first $50,000.00 and $1.20 for I I each additional $100.00 or fraction thereof. Fixture Work: - "Pla Review _for - Complex :Stru - '.' Are you capping, adding or replacing fixtures? "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failur: to system that meets any of the following criteria accurately report fixtures could result in increased se r fees *. Please check all that apply. . Quantit by (Fixture) Work Per I rme': ❑ Any new commercial building. ❑ Any new exterior plumbing site utilities. Fixture Type: , . Replace Y P g . _ Previous Ca ied Added ., Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower • Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool . roviding services to human beings. Car Wash - Each Stall ❑ P i '•bing installations, alterations or additions to food service - Drive Thru facilitte here new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being ins :I1\1 for the food service area. Dishwasher - Commercial ❑ Any new resident' ilding containing three (3) or more - Domestic / dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire pritakler_systeme Eye Wash Floor Drain /sink 2" ` / Submit 2 sets of plans with any of the above. - 3" 4 „ / Car Wash Drain / ` Isometric or R D Garbage - Domestic / in Isometric or riser diagram is required for new buildings Disposal - Commercial/ three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drain/ Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump>Station Shower -Gang 'Jtall Sink / - Bar /Lavatory • - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Wale: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. • i:\8uilding \Permits\ PermitApp.doc 07/06/05 • CITY OF TIGARD 41-'1° BUILDING DIVISION PERMIT #: MST200h -00372 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 12r2/2005 Phone: (503) 639 -4171 iry�hmy��E ilil Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - .. INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 41 SITE ADDRESS:. 14786 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, • PHONE #: 503 - 246 CONTRACTOR: VISTA NORTHWEST INC • PHONE #: 503 531.•0505 Inspection Request Scheduled For: Date: 7/27/2006 Pour Time: Code # Inspection Description Confirm .# - Contact # Message 299 Final inspection 033883 -01 503-720-6239 )‘' 44 Corrections /Comments /Instructions: 404 /,./ Zi -1Z s r—ti / aP J • iC -- - ` g ( z C- j i f PASS H PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CM i7 Date: 147. Phone #: (503) 718 - 111/ ,- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1202005 Phone: (503) 639 -4171 #11 I Inspection Requests (24 Hrs.): (503) 639 -4175 s' __aA INSPECTION WORKSHEET FOR DATE: 71712006 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: KELLEHER PARTITION 002 SUBDIVISION: LO # : TYPE OF USE: PROJECT NAME: VISTA NORTHWEST . DESCRIPTION: SF OWNER: VISTA NORTHWEST. PHONE #: 503'246 -2336 CONTRACTOR: VISTA NORTHWEST INC A(-4, PHONE #: 503-531-0505 Inspection Request Scheduled For: Date: 7 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 , Plumbing final 032807 -02 503- 720.6239 Y Corrections /Comments /Instructions: .61' / - / .o / /_.( .._____ • PASS I I PARTIAL APPROVAL f l CANCEL n NO ACCESS n FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED (V Inspector: 1 "v Date: J / 1 Phone #: (503) 718 -- ' , 1 T CITY OF TIGARD BUILDING DIVISION PERMIT #: IVISl2005 -00371 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: '12/20()()S Phone: (503) 639 -4171 ! ri ry m� n ili . Inspection Requests (24 Hrs.): (503) 639 -4175 .,..:.:� INSPECTION WORKSHEET FOR DATE: 1112J2006 TIME: 7 :02AM PAGE: 11 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503 - 216.2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 603-531 I Inspection Request Scheduled For: Date: 1112/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 024868.01 503-572-2205 N Corrections /Comments /Instructions: • V 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /r/r) Date: I ) ; Phone #: (503) 718 - CITY OF TIGARD 1 � ` BUILDING DIVISION PERMIT #: ;� ";1f)4. #5 00372 1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 121212(05 ' Phone: (503) 639 -4171 44 it j��j� . Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7 :01AM PAGE: 29 SITE ADDRESS: 147855 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503 - 246 -2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503- 531 -0505 Inspection Request Scheduled For: Date: 1/1112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary rower 024762-01 503-572-2206 N Corrections /Comments/ Instructions: • A SS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: G ,, �'-° Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2005.003772. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1`2/212005 Phone: (503) 639 -4171 AdiA, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/10/2005 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 14705 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PAR TITION LOT #: 002 TYPE OF USE: • PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503.246.2335 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503.531 -0505 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 350 ; r ¢� +iL: tank 02466 03 503-572-2206 N uzzer? Corrections /Comments /Instructions: SS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2005-00372 50037? 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2005 Phone: (503) 639 -4171 u,d 0. 'I � +I\ Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 14705 ;: ;W 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503. 246 -2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503- 531 -0505 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 024664 -01 W3-5712205 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- 1 , t CITY OF TIGARD , . , , - BUILDING DIVISION .. . i „ " PERMIT #: MST2005-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212/2005 Phone:'(503) 639-4171 . eadapoi Inspection Requests (24 Hrs.): (503) 639-4175 _11,4. 1 li INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: , 48 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST • DESCRIPTION: SF . • OWNER: VISTA NORTHWEST, PHONE #: 503-246-2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: • Code' # Inspection Description Confirm # Contact # Message 335 Rain drain 024664-01 503-672-2205 N . Corrections/Comments/Instructions: .-.4 • • 4 ' / ' . / , .. ' AfiVIP--/ , . • .. . ' , 14—Mg . El PARTIAL APPROVAL I I CANCEL III NO ACCESS 0 FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ' . • . . . ii Inspector: ' Date: Phone #: (503) 718- , . .. . . . ; ' CITY OF TIGARD BUILDING DIVISION PERMIT #: i1�ST200F G03'7't 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/2 /2005 Phone: (503) 639 -4171 � � /m��ll� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503-246-2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503 -531 -0505 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 024664-02 503 - 572 -2205 N Corrections /Comments /Instructions: ,/ /73 0 1°1r re'ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ✓ Date: Phone #: (503) 718 - P ) ' CITY ��'��U�� um n OF un�m�mnm�� BUILDING ��U��U��U�� ~�"~"~~~=""~~° ~°"°"~~"~~"~ PERMIT #: k4[T20 5- OU372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12y2/2005 Phone: (503) 639-4171 |napo��ionRequests (24Hra.):(603)O3O'4175 .�L�� o �J� INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00Ak4 PAGE: 45 SITE ADDRESS: 14765 SW 92ND AVE CLASS OF WORK SUBDIVISION: NELLEHERPART|ll{)W LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST. PHONE #: 5O3'246-2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503-631'0505 Inspection Request Scheduled For: Date: 1/10V2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 024664-04 503-572-2205 N Corrections/Comments/Instructions: • �� PASS H PARTIAL APPROVAL El CANCEL E NO ACCESS n FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED � /� |napInspector: �/ ' y ~�� i Date: / /(/ )6j Phone #: (5]3)718' / • ' , ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2.005.00372 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/212005 Phone: (503) 639 -4171 A I � Inspection Requests (24 Hrs.): (503) 639 -4175 °A I.. - INSPECTION WORKSHEET FOR DATE: 12/2912005 TIME: 7 :00AM PAGE: 28 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF . ' OWNER: VISTA NORTHWEST, PHONE #: 503..245..2335 CONTRACTOR: VISTA NORTHWEST INC —`'- PHONE #: 503-531-0505 Inspection Request Scheduled For: Date: 12/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 31 5 Post /beam plumbing 02414401 . 503-720-6239 Y Corrections /Comments /Instructions: 4 0 ‘,. ' ,,f -6(2€1. ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED fik) Inspector: Date: - l• j Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2005-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2005 Phone: (503) 639-4171 " I Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHVVEST, PHONE #: 503-246-2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503-531-0505 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final s- 031835-01 503-642-2800 Corrections/Comments/Instructions: X PASS pi PARTIAL APPROVAL LII CANCEL El NO ACCESS P1 FAIL I 1 CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspector: (* Date: 17 I k) Phone #: (503) 718-2-40 CITY OF TIGARD m S i BUILDING DIVISION PERMIT #:aS �� 3 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 : a Adil 4pu�ip �� Inspection Requests (24 Hrs.): (503) 639 -4175 'I I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 1 . 1 . - - 1 8 s c i a ✓rf(" 4-(_— CLASS OF WORK: SUBDIVISION: // Q LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: C — 15 -- d ( Pour Time: Code # Inspection Description Confirm # Contact # Message I q q .- - -Let. Cdr 6 c/a-M) o rrections /Comments /Instructions: ij u nl M At-. q ,N ' Z . 9 ' i . PAN'67_ t) Pk. vVr,' �� • _ ._ter -P A-7Z� ire_ L� " (- l?4 -r--t_ �-'' //., Z ' rp2.G U'/ i>cC l 1 r - 1 >C11d1C- V`� F 44- A 4 "-->" )71 0PPC-. r Z /0 -9a %1 [/ ■ I , C • . - I _ . 1A-1 PASS n PARTIAL APPROVAL n CANCEL fl NO ACCESS .FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: GI Date: 4 `l c 6 g Phone #: (503) 718 - 2---6y LI CITY OF TIGARD BUILDING DIVISION PERMIT #: rvise)' OO pi 7372_ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: q-73 6 7,22 1 ° Ave CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: c 1 PHONE #: E.. p1 CONTRACTOR: J% LJ e_ PHONE #: ii Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message > �— . Corrections /Comments /Instructions: 1 //c r -1/ Il_o f i /._ .3 7 I I I i i X PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n ALL FO' ' CTIO► ❑ ADDITIO AL FEE ASSESSED j 3 . Inspector: Date: Phone #: (503) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #:11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0o37-2_ Phone: (503) 639- 4171 �N��iiil�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 L c-7 g3 '1 _r 11,[e___ CLASS OF WORK: SUBDIVISION: l _ l /®" LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: av-vr5 PHONE #: 6 — — 7-8V 0 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /I i nstru ct ions: ��'�(i+ i // kMev ./ / 6•i • FIA Esie,x *V iltxtm)9 2i1\) 1 . /0/23V-S ■ 2, ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F IL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: NI. v ( "" Date: 1 1 +� Phone #: (503) 718- 24 • CITY OF TIGARD ,_ BUILDING DIVISION PERMIT #: MST2005.00372 U G 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212./2005 Phone: (503) 639- 4171m Inspection Requests (24 Hrs.): (503) 639 -4175 =e,� INSPECTION WORKSHEET FOR DATE: 717/2006 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KI; LLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503"246.2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503-531 -0505 Inspection Request Scheduled For: Date: 717/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032807 -01 503-720-6239 Y Corrections /Comments /Instructions: • bp PASS fl PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: / Date: f Phone #: (503) 718 - °"7 3 ... ._ , . CITY OF TIGARD BUILDING DIVISION PERMIT #: r&S4 — .206= 0 0372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171u Inspection Requests (24 Hrs.): (503) 639 -4175 • -_ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SI DI S SS: Z 47 ` IA J lye LOT #: CLASS OF WORK: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #:(5)39 7z° CONTRACTOR: t'CP‘ PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message C'aS 0 e Corrections/Comments/Instructions: I PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS le IL i CALL OR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: til- Date: Phone #: (503) 718- �� , CITY OF TIGARD �� BUILDING DIVISION � ' PERMIT < 0 3 7 2- 131.25 SW Hall Blvd., Tigard, OR 97223 -% f DATE ISSUED: v 0 Phone: (503) 639 -4171 Aveti� �ipfil l Inspection Requests (24 Hrs.): (503) 639 -4175 .,' __.. INSPECTION WORKSHEET FOR DATE: 0 l A) co TIME: PAGE: SITE SUBDI 1 SUBDIVISION: ON: (4 g G -2)--19 A � LOT #: CLASS OF WORK: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: t \,' PHONE #: 7 _ 6 19,,E 1 p cligs / ion Re u est Scheduled For: Date: Pour Time: � ode # I nspectio Description Confirm # Contact # Message . orrectio s /Comments /Instructions: • k ASS n PARTIAL APPROVAL ❑ CANCEL El NO ACCESS . FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -7- tit Inspector: Date: ``\ / (I) Phone #: (503) 718- i CITY OF TIGARD ' . .) /V 5i .. f,A‘ ‘ BUILDING DIVISION PERMIT # 3 Tigard, 13125 SW Hall Blvd., OR 97223 ' DATE ISSUED: Phone: (503) 639 -4171 " &t$ i ? Inspection Requests (24 Hrs.): (503) 639 -4175 J. `'�_�� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 1 SITE ADDRESS: /1---/ Q U '5- a ' "✓ / _ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Schedul Date: 7 - /0 - 9 ,° Pour Time: `/ Code # Inspection De�iptorf Confirm # Contact # Message /)aa_6, a3 (P G2 ,-, 3 „.„.: , . „ ` 1 4 -Z - A /0 cie.c.s% '' (ox ";:- - N-s - U .4/ • Corrections /Comments /Instructions: �� ., :: _c,:; -,°- 1 /'I 0 - , _ .1 / _ _,,i �I _.i ,._ . _,/i. / I ) 7L(---e----- A // , / Ceri3 3 - / - 2.- - Y 19 I P IA-A .. (P i •e-,/ kh SLS -- "4 - W . • • I” .5 - 0 f • .c fre\e-Lid--cic , ,A• d l -`� � ` c IliniWil t ,I,,' , .: -, 4 / c ) . ■ I. .e I • LAm , t _.� ._, .. - A/_:-WWW - , ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ 0 ACCESS * FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C ll -6 6 718- 2i v p Date. 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INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE DI S S r Li 7 Ks %� �, LOT CLASS SS OF OF WORK: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 � oc Pour Time: Code # Inspection Description Confirm # Contact # Message 3.20 6 M aas. 7 --C - 3 7 /9 Correction�ments /Instructions: r' =f az, 7• ( 69 ° Ca C (}1-:;t° 3 .. :„.._,_) k a ' / ) #1 i./ 7,5 i'S (32/ Q i'Lla — (0.6C-th- ___ 0 0 V - moo s' gli . 1 . Z " s ms`s , ' .&J-19-fie ; 6 k 41L9-1 o_ 2f_? L,/. /7 L. Q. 04 " e6 i-e - c /-a %.. 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CITY OF TIGARD vr■ s'r BUILDING DIVISION PERMIT #: 24th) 3 71_ 1 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �q all � + , Inspection Requests (24 Hrs.): (503) 639 -4175 , ' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: t L{ - NP CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: \ _ PHONE #: CONTRACTOR: ITI 6".P--- -,. ! ( Z PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message S J rY.../2.. cSl. . v" (\/■- ( ,1/4___ Corrections /Comments /Instructions: j �' , � ;��- a_ii)( .- ( - 0 F j0 4 . 3 S J icy, I I Ps- '� ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL U CAL FOR Ila PECTION El ADDITI'NAL EES ASSESSED — r / . Ilir 2 ,/, A Inspector: Date: 4# Phone #: (503) 718- CITY OF TIGARD 5 `�`ti1 -e '71.° 92- 41 4 Sr BUILDING DIVISION PERMIT #: 0 °C)37 )'--- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 .�.:.: =_' : r ii °JA_I I� AtiA) Inspection Requests (24 Hrs.): (503) 639 -4175 .. 5.vee INSP ECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / £f7 gS 6 7 c ) A v CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 0 - dCP Pour Time: Code # Inspection Description Confirm # Contact # Message . f 4 - '1, o 6, 3 7 co rrections /Comments/ Instructions: ir_ Li.-...' , �I ' A .il d ) 1eit,d IZ 7 / . - 7 2 , e ap P t G " m a/ . i 0 --62s 3 7 > % cq,& e ,i . ,, ha e.,°4 -.S7 ..D i2-. 6 2) 5 pm t. .sit/ /._4GO72 — ce w i 4 A 4 s / , 4/ eea 6- 24o. 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Corrections /Comments/ Instructions: ii) AJaziAa-z_elp4a / or - C. 6-)01-6 (nen-d bay OLA ; 2. 4 af3 8Utai p-4c i' 30f/-3 if 2-i i 1 ( walb c 21 l 06 V« /l -�Lt SD / ce /ice,s! ,,A Ce,,x 0 1 . _ ( Oc- gr.e.,,ae g "'' I - /- S • 3) /tic a / Pa P . CO i 1 r 0 G ,f Pte (' u At 40 4 ) AI 62A17 " C'1 6 O e4 /' q (2 r / p /,- ,e c/a 1- -e> l A‘z61/L -). Ae//k .4.,,,m4/4-- 5:--(41 ce y a . ,,e-- C.A/ /L z,Licia--6 C''' . - 1 4 1 CA - , re A 67 66,, g ; i - -- cl • PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS it FAIL I )(CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 92 Date: Y/ i b Phone #: (503) 718 - 70-6 tfAt CITY' TIGARD BUILDING DIVISION PERMIT #: MSr2I10500372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J2f200f; Phone: (503) 639 -4171 too 4 0(A Inspection Requests (24 Hrs.): (503) 639 -4175 „ANIL 4E. INSPECTION WORKSHEET FOR DATE: 12/3012005 TIME: 6:59AM PAGE: 23 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503 -248 -2335 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503 531 -0505 Inspection Request Scheduled For: Date: /2130/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 024222 -01 503.720.5230 Y Corrections /Comments/ Instructions: n(4 S - t 6 . L7 4XSS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR I SPECTION I I ADDITION L FEES ASSESSED I ( Inspector: / Date: l hone #: (503) 718 - 03 i Ala.:5 ' CIT1( OF TIGARD BUILDING DIVISION A , - PERMIT #: MST2005-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2006 Phone: (503) 639-4171 Aronovio, Inspection Requests (24 Hrs.): (503) 639-4175 A.,_.4 6111. INSPECTION WORKSHEET FOR DATE: 12/30/2005 TIME: 6 PAGE: 22 SITE ADDRESS: 111706 SW 92ND AVE _ CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 - TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF _. OWNER: VISTA NORTHWEST, PHONE #: 503-246-2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503-531-0505 Inspection Request Scheduled For: Date: 12/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Postibeam structural 024222-02 503-720-6239 ¥ Corrections/Comments/Instructions: / 1 ' PASS El PARTIAL APPROVAL 0 CANCEL I I NO ACCESS n FAIL . 0 CALL - a - 1EC ION 0 ADDITIONAL FE. ASSESSED . /14 ,A, Inspector: Ada■ Date: 1 . Phone #: (503) 718- .- . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005"00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212/2005 Phone: (503) 639 -4171 i,dN�i� Inspection Requests (24 Hrs.): (503) 639 -4175 r I .. INSPECTION WORKSHEET FOR DATE: 12/1612005 TIME: 7 :06AM PAGE: 84 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 2 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503-246%2336 CONTRACTOR: VISTA NORTHWEST INC , PHONE #: 503 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 023579 -01 503 - 753 -5717 N Corrections/Comments/Instructions: p P-f5e„f ` d e l i ii i v/ lei/ ce2 e'rn b -P - i`vt'm'I 12.J.2 ‘,cvz CZs1 -y 1 '44 ciez- f (- Gni V 1 '_ v / .A/1 A)le PASS n PARTIAL APPROVAL n CANCEL I NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ? 0 Date: ‘' (8 r Phone #: (503) 718- 9--7 0 6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2005 Phone: (503) 639- 4171u m�Nl�I + Inspection Requests (24 Hrs.): (503) 639 -4175 W' INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 61 SITE ADDRESS: 14785 SW 92ND AVE CLASS OF WORK: SUBDIVISION: KELLEHER PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: VISTA NORTHWEST DESCRIPTION: SF OWNER: VISTA NORTHWEST, PHONE #: 503 - 246 -2336 CONTRACTOR: VISTA NORTHWEST INC PHONE #: 503-531-0505 Inspection Request Scheduled For:. Date: 12/9/2005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 023176 -01 503-753-5717 N Corrections /Comments /Instructions: 1) ;' t•' - ( -4 2. 4 X 2-1 II i e'L eA.7 ' ; /Z? 0 f., l 4 " �" 6 Ohl l � 7 ezAcr (.1.• !2- 4,4v2.f1/c_ 6 - ,Y i 0-t/14 ..- t ( C - a ef.A le,;IA-- (-e.,._ 4 -0 -,,a4., A.1, -- -51 C's-e -7 i bei.,GLA it 62 j i • . /:- 6,2 0.{ ce.97,-(74e— 0,,,,-/ ../. ,.__,/,,,./ .-- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i �,� Date: ( 2 i I � j Phone #: (503) 718 - e 565 () 4 TREE TI FI CATI O N E 4 Pi- ' .. I' EET C S lZ R y G/�� r / ,� / g ,PP ; mss �..,�,�a I, , �®wn /A ent for (PLEASE PRINT) (PERMIT HOLDER) l ` -� F$' ' `: Do hereb t b athe ' foll location b meets C ity -.of: Tigard /� 4 h%ngton `County �x a ,.ytaese4.„afr�.:,. -_ -;-: �;, . 9, x,;cr.i,.a�, ax. w °xr; . <:; -,� D l and use and development standards for street tree installation. ADDRESS: L 'V r 1 7,5 04_,/ , _ ' LOT: SUBDIVISION: 7 / -fre C z BY: /' � _ - DATE: / z - 4 ® RECEIVED BY: DATE: --p y FVVVVV Y V