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Permit
V MASTER PERMIT CITY OF TIGARD PERMIT #: MST2004 -00352 it DEVELOPMENT SERVICES DATE ISSUED: 12/3/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13885 SW 102ND AVE PARCEL: 2S102CC -02600 SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R - 3.5 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: Addition of 960 sq ft attached garage. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 960 SECOND: sf GARAGE: 960 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 THRD: sf RIGHT: 5 VALUE: 2332800 OCCUPANCY GRP: R3 BDRM , . : BATH: TOTAL: 0 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: 1 TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL . FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: 2 W /SVC OR FDR: 00 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner Contractor: TOTAL FEES: $ 938.73 This permit is subject to the regulations contained in the GILL & CORYELL OWNER Tigard Municipal Code, State of OR. Specialty Codes 13885 SW 102ND AVE and all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the • work is suspended for more than 180 days. Phone: 503 - 849 - 5244 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Shear Wall Insp Mechanical Final Footing Insp Exterior Sheathing Insr Plumb Final Electrical Service Gyp Board Insp Final inspection Electrical Rough In Rain drain Insp Framing Insp Electrical Final • ' • ., Issued By : � '' Permittee Signature : /� z14 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day „ . Building Permit ApplicatioliN ED FOR OFFICE USE ONLY . . , ... .. . . .. • . • . • . , • . .. . V--1\M l• u . ., City of Tigard Received Permit No.. N vr- ,. . Date/By: // ire 9 13125 SW Hall Blvd., Tigard, OR 97223 _,. ,,1 -, ., ', riNii Plan Review 011M/ „, Phone: 503.639.4171 Fax: 503.598.1960W? .r ' 4 0 0 011100\ Date/B : ka i - 3- , q Other Permit. ■ . Inspection Line: 503.639.4175 n _Al, ei 1 . Date Ready/By: El See Attached Checklist for ' Internet: www.ci.tigard.or.us A...,_...... . -■....n Notified/Method: -2-act J.” Supplemental Information Or 1 '‘\IIS \ (:) wiots,4''w4-nreiti: pa6traiwi A . ;' , i2i-A44:)i , i4t.tiING i4,02-g.„:—.6ArghtaiAVIgItAki:Nk'.4Nd. 4-i. , ,,e*,1.;.:.. , --i= , .:,.- - • . . 217ew construction p Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all V on/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the WPAIV:P work indicated on this application. M A;iatt44:, , 4t , !;: , , , ...„„ ,, , , t,, ,, ;,,i , , - ,,,,,eg - ,,,,a,,,i,;,,, ,,, k.'4,s,L,,.....„ , ,fintzi,4, - r, ,, i ,,, t,:', ov Se- and 2-family dwelling 0 Commercial/industrial Valuation: $ Number of bedrooms: 0 Accessory building D Multi-family 0.,Master builder 0 Other: Number of bathrooms: ff A: iliWakirrals'iiive6WitSC' ..' '''' :' ' Total number of floors: Job site address: I ' 5 e.,. . 1 , 0 2.14 i f,„ v E. , New dwelling area: square feet City/State/ZIP: nw,424r) dtz- q .J Garage/carport area: square feet et 4,0 Suite/bldg./apt. no.: . Project name: 6, Arvit-Lo“ Covered porch area: square feet Cross street/directions to job site: 4,. w 4 a o, t Deck area: square feet 4 4.61. f't IAA I rg.tai Vr. Other structure area: square feet ' Subdivision: ' H. E . 441:tr e„ . p ,z, Lot no.: 1 2. 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.:' WA equipment, materials, labor, overhead, and the profit for the Miugeafidownlik work indicated on this application. 4, Co4trtuter A 14 Atrie..ctisio AA42/6.45 Valuation: $ Existing building area: square feet _ New building area: square feet y*C§Kr AvgitgwyfeiptikrAVil±", :?, Number of stories: • ='' ''454$2„-04tift,W,,z!. Name: p_b 61.6L, JAI,mr to p....re44, Type of construction: Address: 1 .3 132:, 1.4. IC 1)1ft Ave.. Occupancy groups: City/State , eri t zt istater A _ I „ 1/ 1,2... , Existing: , Phone: ( 15 4:3,49 .... 5 /44 Fax: ( ) New: iFENen rat' geiViWki-, ..t?..K- ,' Q 1.4+,Kaitim , - ' ' ' ' W,V7sf - ;.,....,, :.. Business name: N ia14 i H sEr 4. c I p.c. All contractors and subcontractors are required to be / licensed with the Oregon Construction Contractors Board Contact name: utt..i A under ORS 701 and may be required to be licensed in the Address: Po. Ii3oX 2316+ jurisdiction in which work is being performed. If the City/State/ZIP: I 281 applicant is exempt from licensing, the following reasons ft 4,~ Ok. ci apply: Phone: (5p) ) 4, Fax: : (505 e,4,... 3 c 3 4 . . E-mail.: j /444012.E144 6 e Niteg.4 p.444 IA 54,24 NA • 60 " 41Prafgni$'44.4ligNigiiMt;9:16dgiaaibliSWFVOWPWR -sig::: Business name: , '''' ..o•':' - , , .:A:,Yke;::'Am-.,;&;ow,6:. da.';,, ‘.`.,: ...-.. . Address: ' Please refer to fee schedule. City/State/ZIP: Fees due upon application / /a / Y7 YO' Phone: ) Fax: ( ) Amount received CCB lie.: Authorized sig Date received: natu os.....L.,..,.“4- • e Nitit-e-g4 ' 441 `"ftel 'This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 011.,et ,43.4 brlad.e., Date: lb , * Fee methodology set by Tri-County Building Industry • - - Service Board. i: \Buildineerrnits 1 , 13UP-PermitApp.doc 12103 440-4613T( I 1/02/COM/WEB) r: One- and Two- Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY_ City Of Tigard • : Recei Permit No.: • 13125 SW Hall Blvd., Tigard, OR 97223 Date Associated permits. Phone: 503.639.4171 Fax: 503.598.1960 U ° i 24- Hour Inspection Line: 503.639.4175 _ '—'' ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other: • THE. FOLLOWING: ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ►i ❑ 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: . ❑ ❑ , CI 5' Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ®'. 6 Sewer peimii. ❑ ❑ ®" 7 Water district approval. ❑ ❑ [g' 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ [ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ li''' basin protection, etc. _ 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state • ,,•,�' El ❑ „ building codes. Lateral design details and connections must be incorporated into the plaiis or on a separ full -size. t . sheet attached to the plans with cross references' between plan location and details. , Plan.reyiew cannot. be'completed,if - . ; copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and buildin s dirriehsion 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. [ 111 CI and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, '2' ❑ ❑ 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 - l' ❑ ❑ floor, wall construction, roof construction. More than one doss .section may be required to clearly portray' • • . . construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. • 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. P ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. , Y 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate d'et an d locations; for non- `'" ` ' Ilie I' ❑ >•'' ;❑ prescriptive path analysis provide specifications and calculations to engineering standards.. e ' 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing [k! ❑ . 111 locations. Show attic ventilation. ' 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered , • ,❑ 02. We 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 Q' ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. . • t . ' . . . , • ) " ' .. , . 20 Manufactured floor /roof truss design details. - ❑ ❑ _ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A piping schematic is required CI . El @.• 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 0'' ❑ ❑ architect licensed in Ore• on and shall be shown to be as slicable to the .rosect under review. • JURISDICTIONAL SPECIFICS • . . 23 Five (5) site plans are required for Item I 1 above. Site plans must be 8 -1/2" x 1,1" or II". x 17 ". t,, . , ■ . ❑ , RI 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. ❑ ❑ Er • 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. • - , / ❑r ❑ P _ 27 "Drawn to scale" indicates standard architect or engineer scale. R CI CI 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard 11 ❑ ❑ .. Street Tree List. . 29 Site'plan to include tree protection measures as required by conditions of approval. M ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. . . i:\Building\Permits \One- Two- FamilyChecklist.doc 12/03 c ° Plumbing Permit Application FOR OFFICE USE ONLY City of 13125 SW Hall Tigard, OR 97223 Received Permit No.: 2X Phone: 503639.4171 Fax: 503.598.1960 Date/By Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Date Ready/By Suns See Page 2 for Internet. www.ci.tigard.or.us Notified/Method: Supplemental Information :r P 'n . P YPFtIWORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) TORY O CdVSTI. SFR (1) bath 24920 ❑ 1- and 2-family dwelling . ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi-family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 0 Other: Fire sprinkler ( sq. ft.) Page 2 I * uuuea i . i is - ( $ JOB4S1TENEORMATtON 4i L Site utilities Job site address: / 3 " u5 Catch basin or area drain 16.60 City/State/ZIP: OA 7 7.2 2_ 3 Drywell, leach line, or trench drain 16.60 Suite/bldg/apt. no.: Project name: 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.: ) Page 2 Storm sewer (no. linear ft.: Page 2 Subdivision: J Lot no.: Water service (no. linear ft.: ) Page 2 Tax map/parcel no Fixture or item Absorption valve 16.60 u jT1Or4 Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain Name: (- 3 ,t:::)l:J2'::r-:: (_.) I I I r Expansion tank 16.60 Address: .. ,. Fixture/sewer cap 16.60 City/State/ZIP: j' 2) 7 I Floor drain/floor sink/hub 16.60 — Phone: (3) - Fax: ( ) Garbage disposal 16.60 I 1660 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax: Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 I1'f UI Water closet 1660 Business name: p ) 1) / z' Water heater 16.60 Address: Other. City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lie. 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. *F methodology set by Tn-County Building Industry Service Board. i:\Buiiding\Permits\PLM-PenrnitApp doc 12/03 440-46 t6T(tO/02/COM./ WEB) Plumbi P ermit Application - City of Tigard Pag 2 - S Information Fee Schedule: Residential Fire Suppression Systems: .. .., `i •€ • - 4 - Lfl LR- 4 �, :......;. s` Fee (ea} Y g Totai;'F` u F oot a sP e rm lt Fe 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 Service - 1st 100' 55.00 - Medical Gas Systems: Water Service - each additional 100' 46.40 > } °: • Storm& Rain Drain - 1st 100' 55.00 aIU tlo '� P r nit Fee y , , s „, „, $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 Qty Feef(ea} �otal,,,�' additional $100.00 or fraction thereof, to and AWN � 1X it e Ol �tGlIi 4, : � ' , - including $10,000.00. Commercial Back Flow Prevention Device 46:40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25',001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantttfbyr(WWe }0urlcPerformed: , DEPT 1eOla! a ,7 ,' r y Gov � n g t cVPea Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall • -Drive Thru • Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory - Bradley Quantity Total -Commercial Isometric or riser diagram is required if fixture quantity Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: is 'Building\Permits\PLM- PermitApp doc 3/03 Electrical Permit Application � © r r.^ FO OFFICE U.SI ONLY Cl of TIgA1C(� �, ��� Received , ��� Permit No.: j � 2 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 t4 `k i 2 1y3,4 / 1' I '`' ,, " I Date /B . Other Permit: Inspection Line: 503.639.4175 \, � ■ 1.1 A II Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us _ Notified/Method Supplemental Information TYPE 4WORK1'z` ?i` PLAN REVIEW ❑ New construction " Please check all that apply: ❑ A ddition/alteration /replacement PP Y: ❑ Demolition El 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 ❑ I- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more DOccupant load over 99 persons DManufactured structures or JOB SITE INFORMATION, AND. LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: 13 6 8,5 lQ,1 al A ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total 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 4 Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion . 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK . Each manufactured or modular 'dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ' ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: / } 0 A- -y VL 1 i A) �� � �l / 601 amps to 1,000 amps 240.60 2 Address: j � Q � S C I ) / L t Over 1,000 amps or volts 454.65 2 1 r Reconnect only 66.85 2 City /State/ZIP: / / /fib ®1 7 Z2— Temporary services or feeders installation, alteration, and/or Phone: (5 03 ) ,QGi Fax: ( relocation 000 200 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, leas .. exchange : ccor ing o,4 • S 4'.7, 449, 670, and II. 401 amps to 600 amps 133.75 2 Owner signature: ,f ,f,,Lr A A / Date: . g 0 Branch circuits – new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PE' ON A. Fee for branch circuits with service or feeder fee, each 7 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) • Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or O extension. Describe: Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Investigation per hour (I hr min) 62.50 Phone:( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL. PERMIT FEES* CCB Lic.: Electrical Lie.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) • TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \Pennits\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: RE SIDENTIAL WORK ONLY: . ' Fee for all residential systems combined $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm El Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* El Other: C OMMERCIAL 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 Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape 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- PertnitApp.doc 04/03 Mechanical Permit Application FOR OFFICE USE ONLY ` Cityf Tigard Date/By: PermitNo.: 13125 SW Hall Blvd., Tigard, OR 97223 � a' `�� J Phone: 503.639.4171 Fax: 503.598.1960 Plan Review fllpiry1pi� Date/By: Other Permit: Inspection Line: 503.639.4175 0 1 I Date Ready/By: Juns: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 776— Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ❑ 1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. _ Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: / 04=3 � /D��'L /� Air conditioning or heat pump a �I (requires site plan showing placement) 14.00 City/State /ZIP: / / ( ( , 2 , A'� ' 7 , 2 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000 +BTU(ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 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 ❑ PROPERTY OWNER Chimney/liner/flue/vent 10.00 ❑ TENANT Other: 10.00 Name: 60/I7 W 6 j (7 Environmental exhaust and ventilation • J Address: 3401' 6 6 / /1��. - Range hood /other kitchen ( l J equipment 10.00 City/State /ZIP: f l ,.J) ( 1E- I Clothes dryer exhaust 10.00 � � - ? Single-duct (bathrooms, Phone: a- ) Fax: ( ) toilet t compartments, artmrtments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 1 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue . Business name: 6 t) tuE k_ Clothes dryer (gas) Other: Address: _ MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: 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 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00. and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building \Permits \MEC- PermitApp.doc 12/03 2 Permit #: S12O4c/ ` 0 6 332 F ,tin ' �.� Address: ) .37 ,5 ,S 1,J 1 a) ` " C)-v�e. -7 0 6(-- - ill ' ".. :' )Z I ssued by: 1 Date: ,-7:2 - 3 - r•7 `� / Ig 59 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ri ,' 1. I own, reside in, or will reside in the completed structure. !7 NI 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale - before or upon completion. ri 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR / �I 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Prop te1 ners about Const ucti Res onsibilities on the reverse side of t is form. _ , /L� l / /off -� (Signature of permit applicant) (► ate) (White copy to issuing agency permit file, pink copy to applicant) 4 Enformatton NoVele to PA parry Owners Abou t COnstrrL ©U®nl Re ponsEAu es Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER G° ESPPONSBDIlT S: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax flaw: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378 -3524. • Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you riy be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. )internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1 -800 -829 -1040. OTHER RESPONSE! IUTIES MD AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accident3 and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board_(P0 Box •1111 Salem, OR 97309 -5052, 503/378- 4621). The Board is located at 700 Summer St: NE Suite 300, in Salem. prop- own.pm4 1 /94 ' SENT SY: NICOLI ENGINEERING, INC.; 503 6114 , 3636;,. OCT -20 -04 2:45PM• PAGE 2/2 OCT 0 GO eS) ( 2 2oa� � 10v o Fig CleanWate Services — _I .� N Our' ca Is clear, Sensitive Area Pre - a ' O Assessment Jurisdiction a§ WV , Date Date t®∎ 24 r 0 Map & Tax Lot a5/ Oa C . 026 0 0 C Owner s 41U-4 �,, �m ,' Site Address _1_&6005 , $4, I®1. 11 _ elz, arm .23 - Contact bi1_. pb l3 `.M.M. Proposed Activity q(, $,, fx, 4,A,004, s, Address re. z3 Amu rio 4�omr mr � + � l o I 912 Phone '® Ste Official use only below this line Y N NA Y N NA 1 ' 1 ri ❑ Sensitive Area Composite Map Stormwater Infrastructure maps I I M / n o QS # Uy /q f I n - Locally adopted studies or maps Other Specify I Specify a, c„, „,-.." Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: 1 1 Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. if Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. El 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 on your property. NO FURTHER SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments; of PP' S Cgf %Tier U,✓ e. a./. �44f re ,rt //:)0a4?" Reviewed By: / y//r i - ✓- --- Date: i0 /�9,o Returtied to Applicant Mail ,r Fax Counter Date in /2 -p /G By 2550 SW I lillsboro Hlghwby a Hillsboro, Oregon 97123 Phone: (503) 681 -3605 • l=ax: (503) 681 -4439. ynvwhlcAnx�,gcTyksm_ars CITY OF TIGARD rn 'BUILDING DIVISION PERMIT #:0766 LI_ 66 35 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: /3 g Fs" /6 ,741d /-wv CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: v ,� l GZ OWNER: � PHONE #: CONTRACTOR: PHONE #: . Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message / 64_ Corrections /Comments /Instructions: 99) ( 1) - PASS 21 PA' IA ' PROVAL ❑ CANCEL n NO ACCESS I FAIL AL •R INSPECTION ❑ ADDITIONAL FEES ASSESSED -- Inspec • . Iate Phone #: (503) 718 - Z —cam j 1 CITY OF TIGARD 24 -Hour BUILDING l Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received c� Date Requested /) — 3 l 6) AM PM BUP Location / O l� 1S S ) D D- 'Z2 A uite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner )i cZAO9 ' 4 " ! — S - Li ¥ ELC Footing Foundation ' Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: / SIT Post & Beam ,r_tA Shear Anchors 1)4,--1/2-4_1 Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling `�� Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Catch Basin / Manhole Storm Drain Shower Pan Other: Fi s PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line �( ADA Approach /Sidewalk D ate (d ) V / (J 1 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD ., BUILDING DIVISION PERMIT #: MST2004 -00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2004 Phone: (503) 639 -4171 � 4qu " '�A Inspection Requests (24 Hrs.): (503) 639 -4175 ��I Il INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME: 7 :14AM PAGE: 86 SITE ADDRESS: 13895 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503 -849 -5244 CONTRACTOR: OWNER M C Ix* A 1Z . PHONE #: Inspection Request Scheduled For: Date: 9/1/2005 • Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 014729-01 503.849 -5244 Y Corrections/Comments/Instructions: � � / CO 7 i 64i ' - , 51 - , & de/1,44 ewel • K PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I ��' r Inspector: ,I i , Date: _ ` / � C Phone #: (503) 718- CITY _OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2004 Phone: (503) 639 -4171 i m uy {� Inspection Requests (24 Hrs.): (503) 639 -4175 —,W °'! I.. INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:11AM PAGE: 57 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503- 848 -5244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description . • ' # Contact # Message 120 Electrical rough -in r . 9-01 503 - 849 -6244 Y Corrections /Comments /Instructions: 1 • ' b �av� ` 1 } Li . • I I PASS YLPARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 V ()C, L-r --a"'� Date: (8 ( 35 Phone #: (503) 718 - \140 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2004 Phone: (503) 639 -4171 :mm'�'�iiA Inspection Requests (24 Hrs.): (503) 639 -4175 :._� __.. INSPECTION WORKSHEET FOR DATE: r TIME: PAGE: 0 1251200a 7 : � 2AM 49 SITE ADDRESS: 13106 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503 -84g -6244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/25/2005 Pour Time: Code # Inspection Description ..- Contact # Message 120 Electrical rough -in +i4 ' i 603-84g5244 V Corrections /Comments /Instructions: . EA_.1 CT p ev\) °•\,---- - CiD FRAN I Z th w tattosL & 0 D lo l\\*kk) ‘ ? 4.al,--. � .. i -- • g , 1� Thv taL_ p e ND pee- N <-- i , 2-a 4 . -' -a S o � �L_ I �c� \ ®� r �e�s N IN.\ '-\ .1 tb A `i\o,S'e CiF cs.t.\ v i N 1 _, v ,1\1‘ , \ ' mac 'mil cam, w kk, N ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. Cr N L Date: C1 Z 5 06 Phone #: (503) 71,8 V - OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2n04 Phone: (503) 639 -4171 4w 0ypi111 1' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/212006 TIME: 7:03AM PAGE: •i8 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503- 849.5244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # • • - '• a 1 escription Confirm # Contact # Message 116 Electrical service 012627 -01 603-849-6244 N Corrections /Comments /Instructions: - `we (Zo V A i, P 1 1 zivt, tZZ-'I 6()S W ft-irC�6V 6N) N 1\ �' b F ,V I c God wA 60 0u .. \Fq, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / % Date: /1 2 / O6 Phone #: (503) 718- CITY OF TIGARD , C BUILDING DIVISION #: MST2004 -00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/312004 Phone: (503) 639 -4171 40$ Inspection Requests (24 Hrs.): (503) 639 -4175 =__.. INSPECTION WORKSHEET FOR DATE: 7/26/2005 TIME: 7 :07AM PAGE: 35 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503- 84 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 012160 -01 503. 849.5244 N Corrections /Comments /Instructions: 0 V (La „►OS c av �.21.0,_ PNN L . . .eNcik_i., tr Q F wz..0%) i•Nb z_kAtm? vAA tki)(An\i 7 ki pit . • 1 I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "`4 061--_ Date: i—b Phone #: (503) 718 - 2M ∎1 CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2004- 00352 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/3/2004 Phone: (503) 639 -4171 4 ' ii�hl "j Inspection Requests (24 Hrs.): (503) 639 -4175 '.. INSPECTION WORKSHEET FOR DATE: 8/31/2005 TIME: 7:03AM PAGE: 18 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503 -848 -5244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/31!2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 014694-01 503 - 848"5244 Y Corrections /Comments/ Instructions: PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: Q oy Phone #: (503) 718- CITY OF TIGARD ,. BUILDING DIVISION PERMIT #: MST2004 -0032 13125 SW Hall Blvd., Tigard, OR 97223 • ' DATE ISSUED: 12/3/2004 Phone: (503) 639 -4171 / � rnu y�'�INglll i Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7 :05AM PAGE: 26 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503 -849 -5244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 003371 -01 503- 849 -5244 N Corrections /Comments /Instructions: - --)I v �L - ` --QC- �v �.e.`,: ` 41/Q ` S9 U e._-€___ 1 ' v�✓_.75 [i _ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v � ' GAL-- D ate: �! 3 ,� U P hone #: (503) 718- CITY OF TIGARD BUILDING DIVISION q PERMIT #: MST2004 00352 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 12/3/2004 Phone: (503) 639 -4171 „, �Ah,i, l�uNP � -1 . 7 Ins Requests (24 Hrs.): (503) 639 -4175 :,..., � • - --. i <) INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:06AM PAGE: 27 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503 - 849 -6244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/3112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 003369 -01 503 - 849.55244 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ` ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 3/3 v / Q Inspector: V(AC(L____. Date: Phone #: (503) 718- CITY OF TIGARD , . , 1 BUILDING DIVISION #: MST2004 -00352 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2004 Phone: (503) 639 - 4171 pill Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 62 SITE ADDRESS: 13885 SW 102ND AVE CLASS OF WORK: SUBDIVISION: FRELEON HEIGHTS NO.2 - LOT #: 012 TYPE OF USE: PROJECT NAME: GILL & CORYELL DESCRIPTION: Addition of 960 sq ft attached garage. OWNER: GILL & CORYELL, PHONE #: 503- 849 -5244 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 003168 -01 503 - 849 -5244 N Corrections /Comments /Instructions: Allit . o'\ r 1,) r)l P\--( ----- 6-4<( _ Pt _._ - s•N -c:. i 4c 1 c .( Ki . /6-1 i n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1. n , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AL.,411L Date:. �� .3 ne #: (503) 718 - CITY OF TIGARD _ 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 01 66 q — 06 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / 2 I A AM PM BUP Location / 3 g 8S low Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ..,..r ELC Access ..rain nC" ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / r Framing ani ( , $j � jtLlx1-1 41.--e CA= e += - �rL • '1 Insulation Drywall Nailing . *4. - �? - � 5�� -' — �4 ci 4' - , j �0,7'r Si 2= i 5`,/1C Firewall Fire Sprinkler ' T° 14.1 Fire Alarm Susp'd Ceiling Roof Other: Final - P S " PART FAIL MBINC Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect - no access Fire Supply Line Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour t/ BUILDING Inspection Line: (50 639 -4175 MST INSPECTION DIVISION Business Line: O3) 639 -4171 BUP Received = • ` Date Requested AM PM BUP Location . g-5 D - 11 iii: Suite MEC Contact Person Ph ) DV — DAL/ / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing undatio Access: ELC Ft g � i.�oN r 1�t' ELR Crawl Drain Slab Inspection Notes: ,p� J SIT S & Beam / / Shear Anchors Ext Sheath/Shear Int Sheath /Shear ,.� Framing UFO%\ Insulation V Drywall Nailing Fi reveal l J ?Roi'i f Vane Fire Sprinkler Fire Alarm Z- 41' ' C A-S 67 C Lg Susp'd Ceiling Roof Z- " t S 1 [.a o_ w L i� - Other : Final �-� - a b. a PASS PART/Obi PLUMBING We o 4 ► e cll4 -�� G �� Post & Beam Under Slab fir! - . �� ,70 f+L� Rough -In Water Service Sanitary Sewer Rain Drains Catch / Manhole 0 0 Storm Drain Drain Shower Pan Other: Final PASS PART FAIL • MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE. Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA / � Approach/Sidewalk Date. i� ` / C L Inspector � , ' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour - � BUILDING Inspection Line: (503) 639 -4175 ) INSPECTION DIVISION Business Line: (503) 639 -4171 MST Cafes c 4 - -- • BUP Received Date Requested / < -' AM PM BUP y . _ F t Location r . -` ; ~c .., Suite MEC Contact Person Ph ( ) P Contractor Ph ( ) . SWR lark „ „ Tenant/Owner . ..0 ..�' :> � • r S � - ' ELC Footing Foundation 4 , �rj ; � , p E "Z."1: ELC Ftg Drain �kL, a a f� ' g ' p ELR Crawl Drain ' a _�i1._.3.1?,o -,ri� 1,+ .� iri,l?,'����'Nwfal 11.:Yert•P Slab Ina; -ction Notes: r^ / SIT Post & Beam f >,z.., . r' Shear Anchcfrs / Ext Sheath /Shear` Int Sheath/Shear Framing Insulation . . Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling , ; ' s •'i '!:r%' ". ° >. _ ��1; .:... Roof _. Other: Final PASS PART FAIL tRA MBING° Post & Beam Under Slab Rough -In . Water Service Sanitary Sewer Catch Basin / Manhole Storm Drain Shower Pan Other: Final °° 4 SSr' PART FAIL IUI CHA`NICALY ' Post & Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRIGA;L A 31 Service Rough -In UG /Slab Low Voltage Fire Alarm Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART "FAIL SITE,,` A El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line i ADA / Approach /Sidewalk Date of 7) " f Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site PASS PART FAIL