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Permit 1.. /.I i q. f 1'., ,.', MASTER PERMIT my OF T I G A PERMIT #: MST2006-00038 ,,,afll tt, DEVE PMENT I -639 -4171 DATE ISSUED: 3/10/2006 13125 PARCEL: 2S111 BD - 00403 SITE ADDRESS: 14900 SW 96TH AVE ZONING: R - 3.5 SUBDIVISION: DARMEL NO. 3 LOT: 018 JURISDICTION: TIG Project Description: Addition, also connecting to sewer service at same time. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 1,108 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 150,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,108 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH.CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 12 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 0 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 0 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY - A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State 6f OR. Specialty Codes JOHN SWIECICK LUNDSTROM CO LLC and all other applicable laws. All work will be done in 14900 SW 96TH 9700 SW MARILYN CT accordance with approved plans. This permit will expire TIGARD, OR 97223 TIGARD, OR 97224 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 vales Phone: NA Contact #: PRI 503- 684 -0472 adopted by the Oregon Utility Notification Center. Those FAX 503 -684 -0472 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 151042 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 2,495.07 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 i Issued : IC /� /IL _ �� Permittee Signatur � 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. ,r t Building Permit Ap p C 101 + . „ I.OR O FF . I E U$ 0NEY :,Y:' w'r, i �RJ ' 4 : 2 -.;6440 k City of Tigard Re ceived /� Date/B . i (ID 0 Permit No.: 1.T� r 069 --fir 03 13125 SW Hall Blvd., Tigard, OR 97223 FEB 10 2006 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �' "�Sh �'i I Date/B . MA 0 3 — i —G C. Other Perm I 0.Oc2& L (2)2 e Inspection Line: 503.639.4175 '' I k9 ` • Date Ready/By: H See Attached Checklist for Internet: www.tigard - or.gov CITY OF `� 1� ., i Notified/Method Supplemental Information I VUT u� OF �, WJSjQ1,,J.- y %• �?<.. �t�:�'�,` �4. 1af-'*:z'- 1L.m h.1LL_i' a ..r .ate'. ,� =,'d -' ;'•+.'^^' '� ^.��3" - ;�,..-• ' d i = '' '� .fir, _ . - k »- t,, c:x•. ; a`�'YPE OF;WORK: �«, h , asl„ , t; . :R EQUIREDD,... . - AMIILYDWELLING , r- _ x F , ... ..SK_ ".° �:,, ATA: 'AND2 "F ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all [ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the -' ' i .,v,; ,,„,,,,,„1,,,,,,„ i ; _ ,. _. ' ;< • - 34-s 1as rd work indicated on this a ;3' ,• ,..: 4 .ft „ ;t ," , r.:.,..-.,,,,,,,;=,t.,.. '� r � "> •i f. ) �-,� ,,:, t,. `�': CATEGORY OF;�CONSTRUC7'ION �,�., t ,_; �3 • .g •x.\ PP lication. zrl: is t� _ � Valuation: � '.- and 2 -family dwelling ❑ Commercial /industrial $ 1 J O O 0 0 ❑ Accessory building El Multi-family Number of bedrooms: 3 �-o 'G- f ❑ Master builder ❑ Other: Number of bathrooms: 3 w( ak. .. N - i a;x,,,,,} T otal number of floors: i Job site address: i q ° =�:: r i� ` JOB . STtE, INFORMATION�AND,:LOCATION� ° ° ' %. ��:v, � � 4 `o ® 5 1(91:6- New dwelling area: 1 103 square feet City /State/ZIP: • �' U, l ° 9 — 7 -2 - -2 - LI Garage /carport area: square feet Suite/bldg. /apt. no.: Project Covered porch area: square feet . Cross street /directions to job site: Deck area square feet Other structure area: square feet REQUIRED DATA. °" COMMERCIAL- USECAECKLIST 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 :'' ., -° DESCRIPTION OF f WOR_K . !. < *z 'Ae , • _f,; `•, work indicated on this application. tslrlt�G\: 3x5.4-4 w ( 1 ! C Ali d ' I Valuation: $ Existing building area: square feet New building area: square feet - PROPERTY OWNER R... „ r • I :r ', , wi'•_ Number of stories: Name: ,„„1 f i.... -_, h s , „) o 2 L z L Type of construction: Address: 1 9500 ,. 9 G t Occupancy groups: City /State /ZIP: ,`, y ... Z-Z L•` _ Existing: - Phone: ) - Fax: ( ) New - MAPPLICANT '= . , - ,❑ CONTACT `PERSON - ,. "` • • ::,, N OTICE ; : ' . •; • ' Business name: L A. G/5�.� ,,,,` �L �, All contractors and subcontractors are required to be �p Y licensed with the Oregon Construction Contractors Board Contact name: c CAive LA- s '��� - under ORS 701 and may be required to be licensed in the Address: 5 ')0 0 S , -1.3 , A & j' ‘' `7 „.. C- jurisdiction in which work is being performed. If the City/State /ZIP: 7" 101 ,,,,) J1 ( 0 (Z_. `t 7 Z Z '-') applicant t is exempt from licensing, the following reasons a �-1 Phone: () i 5 " 63 Fax: :6 ;03) E -mail: fl j — •\v.ti `-(-.6161 CCi,`)t.44.A CONTRACTOR Business name: t H � .. , _ IA r [All C i[n y LL / -. . BUILDING ; PERMIT FEE *.. n . , ` .. • Address: Cl ') 0 0 u3 I A (ktr - „ ki Ck ! l. Please refer to fee schedule. City /State /ZIP: •\— tkir tk 1 0 9 7. 2 , 54 ( } , Fees due upon application Phone: (5©3) (..{q- 3 is - Fax: (S ) (07 4 —0 14 1 '� l� 2_ Q / Amount received CCB lic.: ‘S"-t0 l n 'l� 062 Date received: p Authorized signature. 4 This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name -e_.,,,, \ y v , f ' 1� ,� Date: * Fee methodology set by Tri- County Building Industry ��� Service Board. 1:11luilding \Permits \BUP -Perm ilApp,doc 12/30/05 440-461 3T( 1 1 /02/COM/WEB) One- and Two - Family Dwelling '' Building Permit Application Checklist F " ' l .V � s� -;+ 3' FIC � - : USk O \Ll p } ; • City of Tigard Received Date/By Permit No 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits Phone: 503.639.4171 Fax: 503.598.1960 �n�q�w� � . 1 ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 ■ �, Internet: www.tigard- or.gov ❑ Other � a W •`', 1 , \ ► Q `• • 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. tikt ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ y. 9 Erosion control JAI plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- a ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance applicable local and state ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size l location '1 sheet attached to the plans with cross references between plan ocahon 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 ix ❑ ❑ 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 " 1 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. i ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. 4 [ _ Full -size sheet addendums showing foundation elevations with cross references are acceptable. 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." (1.3 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. alv 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. C_2 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore • on and shall be shown to be . • • licable to the sro'ect under review. z ;IURIS;DI(I :1ONAl, SPE✓•C1FIC S , ;; :, s ? `::•• 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. s... ' . • ❑ ❑ ❑ 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:1Bui Iding\Perm its\BUP- RES- PermitApp.doc 2 Elect -ical'Permit Application , W ;'` To o f F"ldl% o\L'V, ' 4 t City of Tigard ! p 'B� Permit No.: - D 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ie* +qtr i ,. ; Date/B Other Permit: Inspection Line: 503.639.4175 FEB 10 2 ' /. Il -. ,4...,., ' ' ` Date Ready/By: Juris. ® See Page 2 for • Internet: www.tigard - or.gov - Notified/Method. Supplemental Information R„a - t° r',de;F:•,: - ° p'; !' " >u' s). _ .1'r.. : .:..' r _ _ .: k"r'«; A:A °Rb , `w` . =,:;: y '::';'41.1":".:i.:'''''''''''''''''' .�.. "�}�) (�p� ti� a� �r :� .,, . ^ ��,..5 .,r " �`sPLAN REVIEW. �• :; -, t.' ., s "1�'lY'�9A'K��l?�'I-L�� � � c �'�~`. ° ' * t om , ^;- _..' ^ s" . �'a. ,t.. ; "-"� � . - • +. �' i���; .' .. .., ❑ New construction 1 , I. q r *€r£�> t,�ii` Please check all that apply: r7 • 1 �x ' ° El Service over 225 amps, conun'I ['Hazardous location ❑ Demolition • 6 er: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., t '�CATEGORY :`OF C ONSTRUCT IONS, ;4;;t``3 g _ .• : y 4 T - ;•.i=i of 1- and 2- family dwellings 4 or more new residential ji lt. and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure 11 Multi - family ❑Master builder ['Building over three stories ❑Feeders, 400 amps or more ❑ Other: ❑Occupant load over 99 persons ['Manufactured structures or .V ti ": JOB SITE INFORMATION^AND'LOCATIOIV ;,: Egress/lightingplan RV park Job no.: Job site address: (itT b 0 S W ct,. ❑Health care facility ❑lei Submit 2 sets of plans with any of the above. City / State/ZIP: ---r' 0 q 7 Z Z. C( The above are not applicable to temporary construction service. e� + t-2._ 4.,L y ES .',' , ." t , ! �^- .. aryls•: � ..• .:s -. =; ' FEE..SCIIEDULEaW�?" ��.'��. ��w�;'=�';; Suite/bldg. /apt. no.: Project name: - " "" t ° "` " I` ��' ' Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less . 145.15 JiS, i S 4 Subdivision: Lot no.: Ea. add'( 500 sq. ft. or portion 2 33.40 V, il 1 Tax map /parcel no.: Limited energy, residential . . 75.00 7 S- 2 Limited energy, non - residential 75.00 2 - 'DESCRIPTION OF , WORK p' '. _ ry „ ;:; '. Each manufactured or modular _ dwelling, service and/or feeder 90.90 2 'Rip k f Cf Li Ct ` / ( l ' t ' ^ 6 ( SCI / Services or feeders installation, alteration, and/or relocation 5e V U I ,' c A 200 amps or less 80.30 an 0 2 • r- .{ " ". :. ,F..- p ^., 201 ampsto400amps 106.85 2 ..PROPERTy-AWN•ER :z ' ; „ 4„ . TENA NTS , s- „ , i ,, - .' ` 401 amps to 600 amps 160.60 2 Name: 44 ( jj `z 7Q� ' S� A 1'c .1 t4 601 amps to 1,000 amps 24Q60 2 Address: ( C1 a o s w G �. Over 1,000 amps or volts 454.65 2 f Reconnect only • 66.85 2 City/ State/ZIP: - Y 2 Cr ? L 2' ( Temporary services or feeders installation, alteration, and/or Phone: ( ) l I t J F : ( relocation 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 -. : - '''',-' 4 ' ,- '' • ”- „❑- `APPLIC TACT PERSON' ' ` A. Fee for branch circuits with N " ❑ .CON , service or feeder fee, each _Business_name: 1 _ - 6���������}}}}}}}}} L (C - branch- circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 C� ,^� A first branch circuit Address: - 2 OD ' , (iV Aka t �1 t,c Each add'( branch circuit 6.65 2 City/State/ZIP: T'c � a. f� ! 0 2 -4 r'j ?? VJ Miscellaneous (service or feeder not included) ( �/ Pump or irrigation circle 53.40 2 Phone: (5b 3) 5 � 4 Fax: : ( 5 �) &R '1 7 Z Sign or outline lighting 53.40 2 E - mail: f fdkctIf , Iwti � (0` Co.(711. I V Signal circuit(s)orlimited- energy panel, alteration, or extension. Describe: Page 2 2 Business name: . Tq�L7 — Address: L 6020 s t , . .� � 'K+ ()' A Each additional inspection over allowable in any of the above L it /Y 4,4. , p� �d Iy _ 0 Inv in 62.50 City/State/ZIP: „ .iC , -71//06, \� Investigation per hour (I hr min) 62.50 ) Fax: J ‘v Industrial plant per hour 73.75 Phone: ( � ee ` Z Q 7 F- , as.o 6 / ,. ELECTRICAL: PERMIT F E E S * . . . . . . . . . . . . . . . . CCB Lic Electrical Lic.: ? 4 Suprv. Lic. :5/ i 5 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. (:\Building \ Permits \ELC- PenmWpp doe 12/30/05 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard f., Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDEN'I' WORK' "ONLY: *Wart "' – IW — if ;V Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: . COMIVIERCIALWORK:UNLY:' °;.7 ;. = ``5"1..: ::'' := a= ; Fee for each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls • µ . El Outdoor Landscape Lighting* • • ❑ Protective Signaling , ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 \ Budding\Penits\ELC- PennitApp.doc 12/30/05 '.' ".' 4:- ''''... ' ' "'V i: e' .•t'''Ve"A'-' rFil kt,, ,,,e ,,,.' ...,?-.. . '‘,.,:. -,,- e. ' ' , Or..A4'-'4 Mechanica; Permit Application :'' ..',;:,.., - ,•• :'-''; -',:'. ',' '',' 1 City of Tigard IH[tVEI\ ' Recei ved Date/By: Permit No yis dual _ 0 00 II. - - 13125 SW Hall Blvd., Tigard, OR • 7 2 • ' Plan Review Phone: 503.639.4171 Fax: 503.598.1960 4. 1 .7 1 1 40%)1(-, . Date/By. Other Permit: Inspection Line: 503.639.4175 :-.;1-14;' 'I ',''' Date Read /By: Juris 9 See Page 2 for Internet: www.tigard-or.gov FEB 1 0 2006 --------- - . 7.:'" ' ' ' Notified/Method: Supplemental Information •. ' ' ''' 1=--"' '" I ' ° -,•-'--.- 2 — COMMERCIAL-FEE* , SCHEDULE - ‘ 1 ; USE 0 New construction .B , ; , Mechanical permit fees' are based on the value of the work - I . . re Eggel kr t trbnt performed. Indicate the value (rounded to the nearest dollar) of all 1:1 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit Value: S CATEGORY OficONSTRUCTION4;;;;1.4, 's: z, ,.., .,,. _, -,,_,, _,, ,- :r2 ,,,, .. ,;` EQUTMENT %,SySTEMS'FEES r „ggF-1=and 2-family dwelling 0 Commercial/industrial El Accessory building For special information use checklist. El Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total '''' ..:`,:•,,; _timrOasi*TIONr'AT■ID :LoCAii ,A,' Heating/cooling Job site address: f LI q 5 (Aj ., (0'-r-i--- Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: i D 9 i 2- ' \ Furnace 100,000 BTU (ducts/vents) & 14.00 f Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: S 0 ct ‘c, . Gas heat pump 14.00 Cross street/directions to job site: Duct work a. 14.00 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 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances Water heater . 10.00 1Y ii:' -:;>,-,; P ' ./ C 1:1 E S C . Of : ,. -- kr, ,,. , :.-;-,,4,-,' ..:;-:-,, Ro p t Cf A U i (_ C -, Flue vent for water heater or gas i ' sib i.,.. . . Gas fireplace 10.00 C •- ' fireplace 3 io.00 C OkKc......\ cdc).v- Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 4 ...,- :, ... .. . • . Chimney/liner/flue/vent • 10.00 PROPERTitOWNER', ii,-' . ',:.4,T ',; TENANI ...,,,,,.:, ;i1 .:'.'.'i, Other: 10.00 Name: 441 ' -- T;)(ex vt $j 0 c i`r, PL- Environmental exhaust and ventilation Range hood/other kitchen Address: / q• 1 () O 6L.0 y(0 — -- equipment 2 10.00 City/State/ZIP: 01-2_ i 2- Li Clothes dryer exhaust 1 10.00 i ( 1 — -Singlezduct-exhaust-(bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) - 3 6.80 A - .--1 . .. • .. . , 0 CONTACT PERSON ::" . ', ':: Attic/crawlspace fans 1... 10.00 1 .._4_ Other: 10.00 Business name: t m 1 -- I ry c1."- Co lA"---t1A,If L L C Fuel piping Contact name: '‘..?\ % • v \r tn."...— $5.40 for first four; $1.00 for each additional Furrmce, etc. Address: i" "10 c) $ LA-.... tAlkok e■ t 1.-, C't , Gas heat pump City/State/ZIP: — 1 - i GI ts.t.Arty 0 (2_ 1 1 2, -2, (--\ Wall/suspended/unit heater • Phone: (Co 3) 0 q id. co 3 z Fax: : (503) 6514 -0117 7_, Water heater Fireplace E I ie-t^c).Ard .(kx. (o a sf . tAQ fs . Range CONTRACTOR :-:. :': - '' . ': '. : ., • '. n : ., Barbecue Clothes dryer (gas) Business name: - Other: Address: ,, : i',.,•.: ' MECHANICAL PERMIT FEES*. ..., ' City/State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic. : /67 0 44..-1 1 1 • Dia 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 12/30/05 440-461 7T (I I/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Infformation Commercial Fee Schedule: T'otalsValaation tom: , ....._, f y $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. • • i. I: Buildin \Permits\MEC - PermitApp.doc 12/30/05 2 •1 k �P ��� „, Plumbing Permit ADP i a =ti0'I9 41 /, s , 9 : FoH 0F!AC L 414S E.' obi 1 q` City of Tigard i v � � U(� � r1��11 j -OCO 13125 SW Hall Blvd., Tigard, OR 97223 FEB 10 200 D E C C Permit No.: � rIV y Other Permit No.: im e u Phone: 503.639.4171 Fax: 503.598.1960 "� ; Date/By 24 Hour Inspection Line: 503.639.4175 or , OF j, , - tans Internet: www.tigard-or.gov 1 � � = _ Date y: See Page 2 for p/ ,'� ���[[[ Tq .``(M�� Y Notifieed/Metd/Met hod: S Supplemental Information ;:: :�.,. ?ir'nt' -: z.-,: .' , 0 , � :�� n ( a� - ' '� , s r . ;: ` � : :�: ' '' ` ''w3 -` •e 'FEE SCH :EDULE w s � �Nt� ;y�p�g:�T..� � ,,�. c • � a w � '� �� ,., : a Y .{,' ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total A .ddition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) • ,;' ' " ' sCA TEGORY . " r " = •, ' ,F (,..0-4..:4 SFR (I) bath - 41-1= and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 CI Master builder Each additional bath/kitchen 45.00 ❑ Other: , Fire sprinkler ( sq. ft.) Page 2 3: _ = ;', -` �r ," JOB SITE INFORMATION WA LOCATION , ; 4, � 4 , s n' .; Site utilities Job site address: 1 L C 00 s 1 9 ���°-- Catch basin or area drain 16.60 �A City /State /ZIP: - � ; � , L 9 - 7 1'} Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: 1 I Project name: Q i f r Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: 2d ) 4. Page 2 5S-- 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 4 ' ' - . - 'DESCRIPTION 'OF ;WORK' :'. - ` " r '''': Backflow preventer Page 2 • k LA bt�t cl ? e ! ) \ GL 11--0 Backwater valve 16.60 'I't cl-vvf Clothes washer 1 16.60 Dishwasher 3, 16.60 • - �AL PROPERT Y ': . O WNER • ' 4 . � -, ri ' ,❑ TE NANT., :,vt- ;%- ^ z' Drinking fountain 16.60 � ' � = Ejectors/sump 16.60 Name: )?0 , 4 A C7, • 5 0S4 Lt L k Expansion tank 16.60 Address: I q C() () 5 L /07k-- Fixture/sewer cap 16.60 City /State /ZIP: "r 0 (1.. l ) 2, ELI - Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 Hose bib 2 16.60 • . '. j:APPLICANT ❑ CONTACT PERSON i i Ice maker Z, 16.60 Business name: LU IAAchr 9 IAA_ c. 1-L c- + Interceptor /grease trap 16.60 Contact name: \ p r k 1. .1_1 c � (at/`; Medical gas (value: $ ) Page 2 Address: 1100 5 t Ar; Ix, Ct , Primer 16.60 City /State /ZIP: �� on_ q 'Z z, 0 Roof drain (commercial) 16.60 �, Sink/basin/lavatory 3 16.60 Phone: (5 3) eq i _e z_.. [ Fax: : ( 50 3) wi - 0'J 7 L , Tub /shower /shower pan 2_ 16.60 E -mail: 1\1 ( -tekva • i t t-t•t_ C cntiCta s,T,, 1. Urinal '?, 16.60 • •..*...a: .,. ' ="' - _,CONTRACTOR.. `` r.. ' ; : ::. Water closet '3 16.60 Business name: WOC_Cp ,PO(,aM 6 e19it .Q- - /T72TD4_5 4t. Water heater •1 16.60 p Address: . ' Other: X075 � ���� � N� City /State /ZIP: d-4- s.. dCt, q7060 Subtotal Minimum permit fee: $72.50 Phone: (03 ) 447 - /7s/ Fax: ( ) c ( t) ' Residential backflow minimum permit fee: $36.25 CCB Li / 7 .. td , ) 4 . o&, Plumbing Lic. no., OG, 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. 1:\ Build ing \Pennits\PLM- PermiiApp.doc 12./30/05 440 -4616T( 10/02 /COM/WEB) Plumbing Permit Application - City of Tigard' Page 2 - Supplemental Information . Fee Schedule: Residential Fire Suppression Systems: is _ �z k . Squa g.. 'Periii.t ,e Site . p 71;9..t.77:::'.' Fee ( e a ) ° t Tour t. re Foiii e: 7 , e •Fe ZV . . Footing drain - 1' 100' 55.00 0 to2,000 $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' I 55.00 S cT 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 ' •e : Vale ti011:`= ° ` `P ermi t ` F ee - 4 : '�' . " ,,u: 0- ),3 •. , 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 ,•., • additional $100.00 or fraction thereof to and c : .- e Ot Iten1= -4 y° ° rb`, Qty ',F;,F ee e ) j ;:Total r ^' � �`�'� " � 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 &action thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof . Fixture Work: . "Pion'''Review ,! for - .0 .' .ple g'St r uct ir es: � a < t Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees*. Please check all that apply. a ' . '" ' ' ; # ' °' ' ' Quantity by (Fixture) Work Performed !. ❑ Any new commercial building. `°. ❑ Any new exterior plumbing site utilities. ,F`ature Type:: £ hw, ;; ...:; - . _ r :.., • ...= -, : R . .,:i ?. 'p revious ' :Added'. r Fisting: ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car. Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher -Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. 3" Car Wash Drain v ..y..i ; Isometrico Riser >Diagram ^+ _ = Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains - oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station , Shower -Gang -Stall ` . • ' Sink - Bar/Lavatory - . -' - - Bradley ,, - Commercial - " - Service . Swimming Pool Filter • • • _ .. Washer - Clothes ' * If the fixture work under this permit.results in an Water Extractor .. . • 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 . \Building\Permits\PLM- Penn5App doc 07/06/05 11 t� + ECE FEB 10 2006 u,,,att,i��l�ip -IHY CITY Of ( cw OF TIGARD RESIDENTIAL PERMIT APPLICATION apED REVIEW WISTM OREGON Permit Number Env • , - 0003 Lot No: Subdivision ---~ Address IIM Contact Name R LUNGS /Q..p Business L�U/UO, Z4 totiWify L/C Street 1 S W / ptvgibity CA-, City - 1)C o 44.A I State t Zip ?7c2 y As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. AL The application is complete. MI The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. The submitted Tlans cannot be reviewed until the above information has been submitted and /or approved. The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. Olkekd Q Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 Feb 9. 2006 ► EAN WATER SERVICES 503 6814439 No.1075 P. I c*C D 1 / \ P T 1 Y Stu��� 2 loos • CV" . G 1 FED0 ��te File Nu ter 000 5 Se rvices _ � � 3 9 i Our commitment ii cte�r. by ��� ensitive Area Pre-Screening Site Assessment Jurisdiction , i ! Date 272 —0 C Map &Tax Lot 051 _ Owner Applicant Sd>t 4 R i j;., r t.< r`C�� • k c.✓•64 (in r . Site Address r.T << O S -U L.u.ticl t sere. Oti i 2 � Address Company } �d�1c� C� ;k/ I ,� t - A ��,;�'(� i `17 4C7 `-'�' ^'�,�� ly h [_1 Proposed Activity . L .A C, ( j or City State Zip ii o -- � �.0�4. t --, 2-2 ....,.6‘,,,,. ^ _ f. cL Phone x`03•- 0i'1-(e3Zc Axs, 3 s..� / too lac Fax 5 S (.DiY `7 L By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Service, have authority to enter the project site at alt reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. • • Official use only belowt ,r lino . Y N N Official ooaly below ti, }s tine Official e D lal use lelowtNln une A . V N NA E Sensitive Area Composite Map nn Stormwater Infrastructure maps ❑ Locally adopted studies or maps � ❑ ❑ Other 4WS P4 um 1193 Specify - Y � Specify . P fY .'mod ,ifv,. / Based on a review of the above information and the requirements of Clean Water Sery ices • Design Construction Standards Resolution and Order No. 04 -9: ❑ Sensitive areas potentially exist on site or within 200' of the site, THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive.Areas exist on the site or within 200 feet on adjacent properties, a Natural • Resources Assessment Report may also be required. IN Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality • sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required potmlts- and - a must - be - obtained and - completed unde local, state, and federal law. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. . Reviewer Comments: • • tr* e„o f . f pt 41.1. ,5 e, i R ance/ ppl9e•.riblly s �..�;ztvC ads B i r .. a .j i_,_/� ltao_4ar a _. jr aw ` Reviewed By: - d.i."or —____ Date: �/q/A6 Official use only Post -It" Fax Note 7671 Dale 7 /9/ lre / Returned to Applicant rp ,Vii , From / � / i.6iw�( ®.r Mail Fax X Counter comool. co. 61.0 Date zc10 a By Alt Phone# Phur,eM�s.60! - sow 7 / O ■ F"# J5d3. 68V•dktoi F EU( Ft CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE T & T ELECTRIC 4120 SE INTERNATIONAL WAY SUITE A -105 MILWAUKIE, OR 97222 Electrical Signature Form Permit #: MST2006 -00038 Date Issued: 3/10/2006 Parcel: 2S111 BD -00403 Site Address: 14900 SW 96TH AVE Subdivision: DARMEL NO. 3 Block: Lot: 018 Jurisdiction: TIG Zoning: R -3.5 Remarks: Addition, also connecting to sewer service at same time. Your company has been indicated as the electrical contractor for the permit indicated above. I n order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: JOHN SWIECICK T & T ELECTRIC 14900 SW 96TH 4120 SE INTERNATIONAL WAY TIGARD, OR 97223 SUITE A -105 MILWAUKIE, OR 97222 Phone #: NA Phone #: 503 - 652 - 7610 Reg #: ELE 26 -1105C LIC 161187 SUP 5176S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Sig .ture • Super ising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G -00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311012006 Phone: (503) 639 -4171 wd0„�iI1ll� Inspection Requests (24 Hrs.): (503) 639 -4175' gamma INSPECTION WORKSHEET FOR DATE: 1111/2006 TIME: 7:03AM PAGE: 13 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: StA1ECICK • • DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503 -684 -0472 Inspection Request Scheduled For: Date: 11/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 039160 -04 503 - 149 -6325 N • Corrections /Comments/ Instructions: • PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G' Date: // J G4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IviST2006 -00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10//2000 Phone: (503) 639 -4171 f Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7:03AM PAGE: 16 SITE ADDRESS: 14000 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition. also connecting to sewer service at same time. • OWNER: SW1ECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTRONM CO LLC PHONE #: 503 - 631 - 0472 Inspection Request Scheduled For: Date: 11/1/200; Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 039160-01 503849.6325 N Corrections /Comments /Instructions: /Zc, 4-.. �5 �1Yst�1��12- . f'S `.� ,i� ASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: t/ Phone #: (503) 718- _/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MSTm008 -00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1 0/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 A4, INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7:03AM PAGE: 15 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SIMECICK • DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWVIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 11/1/2006 Pour Time: p q Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 039160 -02 503-849-6325 N Corrections /Comments /Instructions: IL PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS I I _ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: y47p Date: i / & — Phone #: (503) 718- ZG'_ CITY ������N�������� �*mm n OF mn�m��nm�� BUILDING K�K��U��K���� `- ~~"°"~°,~,,. ' PERMIT #: K8ST2006-00098 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3N10V2000 Phone: (503) 639-4171 Inspection Requests (24Hmj:(503)O39'4175 _ ^ �J� INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7:03AM PAGE: 14 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 810 TYPE OF USE: PROJECT NAME: SW1ECICK DESCRIPTION: Addftion, also connect to swer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUN[)BTROk4C{}LLC PHONE #: 5O3-6E4'0472 Inspection Request Scheduled For: Date: 11/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039160-03 503-849-6326 N ' Corrections/Comments/Instructions: PASS • ( I PARTIAL APPROVAL CANCEL El NO ACCESS FAIL ri CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 1 1' DIVISION PERMIT #: i IST 00$ 00038 131'25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 av , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/15/2006 TIME: 7 :01AM PAGE: 105 SITE ADDRESS: 14900 SW 96TH AVE. CLASS OF WORK: SUBDIVISION: tARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SIM DESCRIPTION: Addition, also connecting to sewer service at wane: time. OWNER: SWECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503 -0472 Inspection Request Scheduled For: Date: 5/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 0298213 -02 503-849 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / L ' ' 1 ( Date,;_50 6 r Phone #: (503) 718X3/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MSTA)0 00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 7111 1ilt • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5f1E120 6 TIME: 7 :04AM PAGE: 106 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL. NO. 3 LOT #: 01€€ TYPE OF USE: PROJECT NAME: SWIMCICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 5/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 029828-01 iO3- 143 -6325 N Corrections /Comments /Instructions: /\/( olirMiffiffir // i i • Al it V PA SS I xr.i �ARTIAL APPROVAL CANCEL ❑ NO ACCESS FA IL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: !4/ Date: Z5) - Phone #: (503) 718 - ‘2-- - CITY OF TIGARD BUILDING DIVISION ' PERMIT #: NIS I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ",:v10/2006 Phone: (503) 639-4171 .... / 4 41:1iit Inspection Requests (24 Hrs.): (503) 639-4175 .. INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARNEL. NO. 3 LOT #: 010 TYPE OF USE: PROJECT NAME: sVvi Ea CK DESCRIPTION: Addition, also connecting.to sewer service at same time. OWNER: SW ECICK„IOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO 1.1C A 7 _ PHONE #: 503-684-0172 Inspection Request Scheduled For: . Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message MO Storm drain 02792E3-01 503-849-6325 N Corrections /Comments/ Instructions: 1.A. ,,-- .., ..• _ • Af 40411/11 • ASS n PARTIAL APPROVAL El CANCEL NO ACCESS I FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: r c Y.6 Date: 1131 io_o Phone #: (503) 718- r • CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2006-000:38 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 . Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SIMECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SW1ECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC LE;(2- PHONE #: 503-684-W72 s po-r ' , Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 032008-03 503-849-6325 Corrections /Comments/ Instructions: • ?c 0 P - C• t r.) • A PASS fl PARTIAL APPROVAL EI CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6\) Date: 41 ' 2 -0 0 Phone #: (503) 718- 1-1416 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 /w�m BP�IU Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 019 TYPE OF USE: PROJECT NAME: S\ MECICI< DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SW1ECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 032008-04 503 - 849.6325 N Corrections /Comments /Instructions: • PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d� ' Date: it Ut 0 Phone #: (503) 718- 21"11 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 /rm Inspection Requests (24 Hrs.): (503) 639 -4175 �� �pi it � .. INSPECTION WORKSHEET FOR DATE: 6/2012006 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 14900 SW 9 AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SMECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: WNDSTROM CO LLC PHONE #: 503 -684 -0472 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 032008 -02 503-849-6325 N Corrections /Comments /Instructions: • • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N R Le Date: " 6 Phone #: (503) 718- 244 CITY OF TIGARD • 13125 Ha li B ivd1. Tigard, OR 97223 N *01 V\ PERMIT #: MST2006-00036 12 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 AA '' Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/14/2006 TIME: 7:05AM PAGE: B SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 LOT #: 0Th TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROlvl CO LLC PHONE #: 503-664-0472 Inspection Request Scheduled For: Date: 6114/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message •Hrfr Electrical ' reie 031736-02 5034349-6325 N IZJO k#9 " Corrections/Comments/Instructions: 0 'i'aiaNAC) sms, 0 y, bORT..-Tcyt. scw`i 6 '&1E R..-E.NL 13QkrarYN - tV INciN K '311 .V1 . 63 es Kkawslce 6 itJ pC L 4 1 - ti t,01,3 -40 331 • kt,LL <zetteLm LA)1 o 'LI G.ct utcoeN omp '1 4L ‘t4 cV \Pe 1 k \i 'kW. tIV Vi■O eyal. Y .) 41.44,-e © PASS I I PARTIAL APPROVAL pi CANCEL 0 NO ACCESS FAIL A CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Cr'' Ote) t-s Date: 4 '14 '06 Phone #: (503) 718- . . , . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 i In spection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 6/14/2006 TIME: 7:05AM PAGE: 7 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 010 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LtJNDSTROM CO LLC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 6!1412006 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 031736 -03 503 - 849.6325 N li 5- Se'likAii _111 Corrections /Comments /Instructions: `S wit 1 to 3 4 4 Ratgt Ra) c LD W-1 1-6 n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: v y , v be Date: r ° + 1 4 ) ( 0 Phone #: (503) 718 - 1-4 CITY OF TIGARD BUILDING DIVISION .: . PERMIT #: MST2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 /7.ilo Inspection Requests (24 Hrs.): (503) 639-4175 „AA- . IL INSPECTION WORKSHEET FOR DATE: 6/1412006 TIME: 7: 05AM PAGE: 6 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 0113 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SVVIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-6040472 Inspection Request Scheduled For: Date: al 14/ 2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 03173644 503-849.6325 N Corrections /Comments/ Instructions: leli l'R-G CA k.-1 its.C1 1rQ-‘5 n PASS n PARTIAL APPROVAL 0 CANCEL Li NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Cr: N 4q) I— --.' Date:0 l i ' C)t) Phone #: (503) 718-1A _ _ r CITY OF TIGARD ,. BUILDING DIVISION PERMIT #: MST20061)0036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 "Ittlitiii?\ 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 3 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: 1 SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECI CK DESCRIPTION: Addition, also connecting to sewer service at same time. ... OWNER: SWECICK, JOHN • PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 603-664-04172 1 1 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 031653-01 503-849-6325 N Corrections /Comments/ Instructions: iTh c- 6 i e-Kc e_ ?J._ F u K0-7 il tit --- N or" -- : (',4 f --_ 1_43 1-1 Or? 2.-- ,------ __IV P ----- C-7 - 7 - 07k_i f Maihisa i 3c 2-0/0 2 7 rf n S 1 /Del PA-i P)k.‘17) Ay Cltog,r) 41 ( - -eiK e, 4 . El PASS 0 PARTIAL APPROVAL l] CANCEL El NO ACCESS lyr„FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED / Inspector: c /7'iF Date: (._:, 'I 0 6 Phone #: (503) 718- Z‘4 - . CITY OF TIGARD 'I S T BUILDING DIVISION PERMIT #: aOO 00 03 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 (4-90O / Ve k. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: to _ Z b -- ° Pour Time: Code # Inspection Description Confirm # Contact # Message 2 9e s Fq7 - Corrections /Comments /Instructions: I Al SV k sN Tez-7 Ai 4 iv . 1 /4,PLA cE Jo CArec ( & S 011, -/2lX- rA' - l" 5 7 C.v. ( Z2) te "-C770-,J �t • PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: % • Date: G --- Og -0-F Phone #: (503) 718- f-44-g---- . . CITY OF / ��um m n�'m TIGARD •. . BUILDING DIVISION PERMIT #: MST2006-00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3V10/2006 Phone: (503) 639-4171 Inspection Roquea�824Hmj:�@8)63Q~417S ~��N� INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01Atvl PAGE: 69 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 LOT #: Ole TYPE OF USE: PROJECT NAME: SM8E[%CK DESCRIPTION: Addition also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNQ8TRQkdCO PHONE #: 503-6 Inspection Request Scheduled For: Date: 6/32/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beanmecham|oal 032152-01 503-849-6325 N Corrections/Comments/Instructions: | F<SS || PARTIAL APPROVAL F - l CANCEL I I NO ACCESS I | FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED ^� Inspector: / Date:w~' r Phone #: (503) 718- 21-4^s ` . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00038 l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 „,,,g o�61�lllf �'I Inspection Requests (24 Hrs.): (503) 639 -4175 �..' W I`'� � .I INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7 :01AM PAGE: 68 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: S WECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684-W72 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 032152 -02 503 -E99 -6325 N Corrections /Comments /Instructions: v PASS PA RTIAL APPROVAL CA ❑ ❑ n NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ,9 Date: 4� '�� Phone #: (503) 718- _4 �,. • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2t)08- 00038 _"' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311012010 6 Phone: (503) 639 -4171 �� a �� a9pu�ii 01 Inspection Requests (24 Hrs.): (503) 639 - 4175±- __.. INSPECTION WORKSHEET FOR DATE: 612212006 TIME: 7 :01AM PAGE: 67 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL. NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWiECI CK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503.664 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 032152 -03 503-840 -6325 N Corrections /Comments/ Instructions: - tea_/ vzi� ❑ PASS I . ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS H FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ' Date: C -�� Phone #: (503) 718 - -2-_/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&- 0003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639- 4171�n4 @�iii�l Inspection, Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6113/2006 TIME: 7:22AM PAGE: r SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: S'MECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503 -6B4 -0472 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031652 -01 503-B49-6325 N Corrections /Comments /Instructions: PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS -- FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C-H1 P Date: 4./3- 06 Phone #: (503) 718- ( CITY OF TIGAR BUILDING DIVISION PERMIT #: MST 7006 - 00031 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639 -4171 d��M��Niq "( '� Inspection Requests (24 Hrs.): (503) 639 -4175 �. ' -' I .. INSPECTION WORKSHEET FOR DATE: 6 /13/2006 TIME 7 :22AM PAGE: 4 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031652 -02 503- B49.6325 N Corrections /Comments /Instructions: - A C ,4 , AZO ----- ,-. ...:( _ -4 - 7V-e-' 7 — if - c ---. (CM l f_) FJ l�c'x S j77 C`��.7 r C)t 1 f - lo o�P,S r\ /�© / L r. - j 6a - � l .. 5 yr _ VW — :f &I, L -,„, •41.--L-- t — - rM l b 6/. S- S 1 b'Ky U rte' /./[ o - f Ai S Pc Lam- i PO Zr✓ /■o r 1 N Spc= -r? Ul ?7 TNT -r"-‘ 6 Li../L� lco ... i •76.1 '7 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS V ....FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 F Date: 6 '/ - 0 4 Phone #: (503) 718- 4,1 . CITY OF TIGARD ' . , / BUILDING DIVISION ; , PERMIT #: MST2006-00038 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 "Wil s■ Inspection'Requests (24 Hrs.): (503) 639-4175 A. - Ilk. INSPECTION WORKSHEET FOR DATE: 4128/2006 TIME: 7:02AM PAGE: 12 ./ . SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 / LOT #: 018 TYPE OF USE: PROJECT NAME: SW1ECI OK DESCRIPTION: Addition, also connecting to sewer SWAM at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNOSTROM CO LIC PHONE #: 503-684-0472 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 028960-02 503-849-6325 N Corrections/Comments/Instructions: R-aP - 7 i 10- 11/47/6 4 , . V PASS 71 PARTIAL APPROVAL El CANCEL NO ACCESS FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: .4.2 1/ Date: 2_,,e0?(:2 Phone #: (503) 718- 27d-rC • — - - CITY OF TIGARD BUILDING DIVISION PERMIT #: tviST2O()-00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1012006 Phone: (503) 639-4171 4/11 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:0244/1 PAGE: 13 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWI EC! CK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: MECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503-684 Inspection Request Scheduled For: Date: 4/2812006 , Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallslanchors 028960-01 60`3-649 Corrections/Comments/Instructions: 2 7 -e-Z PASS I I PARTIAL APPROVAL El CANCEL 7 NO ACCESS El FAIL I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: 0 , Date: l 2 "; ai-6 Phone #: (503) 718- / CITY OF TIGARD ." BUILDING DIVISION •: 1 _ ) PERMIT #: MST200&00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 ,4 IN t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:04Aivl PAGE: ' 66 SITE ADDRESS: WOO SW 961H AVE CLASS OF WORK: SUBDIVISION: DARNEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIFCICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SW1ECICK, JOHN PHONE #: NA CONTRACTOR: WNDSTRO1V1 CO LL.0 PHONE #: 503-6840472 Inspection Request Scheduled For: Date: 4/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2M Shear wallsianchOff; 028829.01 503-849-6325 N dtrections/Comments/Ihstructions: 1 ., • di c91 ST1 ") 464..ak F' 4S Pz-Cre-, we> z_i, 02-3/ Al sr-/-i-e'b u (---6 - /c- 6 02___ .. • I PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS &FAIL El CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: f41- -(-- L ( - Z- 7.° Phone #: (503) 718- 2 .6-114- . ... _ / CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST 13125 SW Hall Blvd., Tigard, OR 97223 : DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 : 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/27/2006 TIME: 7:04AM PAGE: 64 SATI SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: am TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SWIECICK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LLC PHONE #: 503 Inspection Request Scheduled For: Date: 4/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 020829-02 603-849-6325 N Corrections/Comments/Instructions: 6 r e___ ,(7-.-/-.9 6p e_, &Q_ 7 A//q-t c— sd$4./__ p e___ A--7--r e__ nP i--/oly/ R oeivt--( El PASS El PARTIAL APPROVAL n CANCEL 7 NO ACCESS --FAIL El CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Date: LIZ-7- ' ze z-//-7 1 Inspector: Phone #: (503) 718- 1 I___ . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-0008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006 Phone: (503) 639-4171 „,„414,1,001Ai Inspection Requests (24 Hrs.): (503) 639-4175 A- l.- INSPECTION WORKSHEET FOR DATE: 4,17/2006 TIME: 7:05AM PAGE: 97 SITE ADDRESS: 14900 SW 96TH AVE CLASS OF WORK: SUBDIVISION: DARMEL NO. 3 LOT #: 018 TYPE OF USE: PROJECT NAME: SWIECICK DESCRIPTION: Addition, also connecting to sewer service at same time. OWNER: SI/MEC! CK, JOHN PHONE #: NA CONTRACTOR: LUNDSTROM CO LW PHONE #: 503-64-0472 Inspection Request Scheduled For: Date: 4/17/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 028111-01 503-849-6325 N Corrections/Comments/Instructions: 4f)._, 3 045-79Z/qx-ec (. -....44•4----- . • - . . ------- PARTIAL APPROVAL 0 CANCEL El NO ACCESS FAIL I 1 ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: . r ' Date: 4--/?---4:0' Phone #: (503) 718- - - CITY OF TIGARD .S T A BUILDING DIVISION PERMIT #:2,0 e -.0003 e 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Atetkdi,,\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: o 6 ci 6 Q1--1-L. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 — D- 5 (e' Pour Time: Code # In • - on Description Confirm # Contact # Message At) V.H.--(e3c)-ts k_c_woi‘ky &re Corrections/Comments/Instructions: Wi el_ -60 C01 ( C -1 Q.> C107M 1-24STE-- Z n PARTIAL APPROVAL CANCEL El NO ACCESS I I FAIL I I CALL FOR INSPECTION ADDI , IONA FEES ASSESSED Inspector: / Date:3 7)7 Phone #: (503) 718ZA7.22__ CITY OF TIGARD ill i .: o BUILDING DIVISION PERMIT #: Z© � - © 0 3 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8) Phone: (503) 639 -4171 / a""Nanl���ii�6��� i) Inspection Requests (24 Hrs.): (503) 639 -4175 : ..,30- -_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / L 9 00 7 6 �-'�l_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: -•3— Z R C° Pour Time: Code # Inspection Description Confirm # Contact # Message -2S- 33 S s-o .s -; .,.� �� g c; 7 3 5 / �/ ,?b Corre tions /Comments /Instructions: c 11/4 6— a5 9 Cam z.(- v7-1 3 d (1 _ (33 5 i. I) . 3 4 ,� • gLi» 1..- 0 2-0 ,a/4 e N/4 1/j %4 — `((/) e-,_- / is) 1_,-e ti)c5 , 42,,,, ii2. . j 5 -7.--x. 7. c- f6 L'2eLic--e 0 Z- - lel/i:vi 6 0 a__-,e___J,s . S 7 / r c/ /U ,. /rd p� ._. _ AI v .,- s 1---„cui 6 3 / ,y4 c--f 6 ' . 47')f-tot- '40 th - hi d CIO Cc.. . / , FASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS AIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � _ : 3 W 0 2 V 2 `i Date: Phone #: (503) 718 - CITY OF TIGARD ; c' BUILDING DIVISION .5/7-1 PERMIT #:2-66 r 0003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...'41- INSPECTION WORKSHEET FOR DATE: / vi .. 10 / TIME: PAGE: SITE ADDRESS: 0 Q () 4.6 t CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: �, ' PHONE #: if 6 3 zsr • CONTRACTOR: / i PHONE #: Inspection Request Scheduled For: Date: Pour a • Code # Inspection Description Confirm # Contact # Message orrrections /Comments /Instructions: Or JA-c4- )!A - -47 611 d r7 < ( Cd4A" -rte • Jl-• ''. t. ..'..�. , �J �,. - (A) -- • • • • PASS ❑ PARTIAL APPROVAL l CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M er/git . Date: . 2 Phone #: (503) 718 - 1-7 'l S ,.. CITY OF TIGARD . . BUILDING DIVISION .. A PERMIT #: 4--00(0 Odd 3 e D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: Phone: (503) 639-4171 44 Inspection Requests (24 Hrs.): (503) 639-4175 4. -IL INSPECTION WORKSHEET FOR DATE: '3 / 2, 1 0-6 TIME: PAGE: 7 1.- SITE ADDRESS: / '7' 5 0- d 6 - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: • OWNER: PHONE #: • CONTRACTOR: .11 'C'e1/44-12:b PHONE #: W16— 6 3 Inspection Request Scheduled For: Date: Pour Time: Li Code # Inspection Description Confirm # Contact # Message ital/V‘ Corrections/Comments/Instructions: _01-vv■- I PASS -- I PARTIAL APPROVAL 7 CANCEL I I NO ACCESS AIL / LL FOR INSPECTION . 7 ADDITIONAL FEES ASSESSED Inspector: - , Date: - ----41-- Phone #: (503) 718