Permit C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00094
4
DEVELOPMENT SERVICES DATE ISSUED: 4/26/2006
I _ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103DC -00809
SITE ADDRESS: 13630 SW 114TH AVE ZONING: R - 3.5
SUBDIVISION: VIRGINIA ACRES LOT: 007 JURISDICTION: TIG
Project Description: Kitchen remodel, resize window.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 600.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
• ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 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 S SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
FRED WATANABE . ONE CUT CARPENTRY LLC applicable laws. All work will be done in accordance with approved
13630 SW 114TH AVE 16649 SW 89TH PL plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 620 - 8856 Contact #: FAX 503 620 - 0138 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 - 969 - 3336 or 1 -800- 332 -2344.
•
Reg #: LIC 126209
TOTAL FEES: $ 258.57
REQUIRED ITEMS AND REPORTS
/
x r
Issue L . _/ .�/l .- Permittee Signature : /
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application , FOR OFFICE .USE ONLY
City of Tigard Date/B Received Permit No.: fi r/ �/� P
II
'l 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I: Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit
TI C A RD Inspection Line: 503.639 Date Ready/By: RI See Attached Checklist for .
Internet: www.tigard or.gov Notified/Method: ,Mi Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND'2- FAMILY DWELLING
❑ 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
CA TEGORY OF CONS TRUC_TION work indicated on this application.
Valuation: $ 6‘/' ..„-----
❑ I- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION . Total number of floors:
Job site address: 136, so 5 W 1 (4 rd A ✓F New dwelling area: square feet
City /State /ZIP: - ` ., /�._ 0 062._ el 72-2- -q Garage /carport area: square feet
Suite/bldg. /apt. no.: ( Project name: yJJrp-g� Covered porch area: square feet
Cross street /directions to job site: (sq A (iD c Deck area: square feet
•
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• - DESCRIPTION OF WORK work indicated on this application.
S� Z ` w17c9� Valuation: $
f 1� Existing building area: square feet
New building area: square feet
. %PROPERTY OWNER . ❑ TENANT Number of stories:
Name: Fg yt//41yAv .85 Type of construction:
Address: j 36 3 c..) 6 w 1 / 4771 /E Occupancy groups:
City /State /ZIP: -F "laD p2_ 1 7223 Existing:
Phone: (p5 ) (02& MG Cc. Fax: ( )
New:
APPLICANT .. ❑ CONTACT PERSON NOTICE
Business name: 0 J E i -r a AR ?E'el 7 L.L --. All contractors and subcontractors are required to be
Contact name: 0 I� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / 6 , 6 , 4 � 4 t g 6 ✓ e 9 7 - ' , ' . jurisdiction in which work is being performed. If the
—� y( applicant is exempt from licensing, the following reasons
City /State /ZIP:
/�6 ,7) 0 Q 7 Z 2 apply:
Phone: (5 3) j ,9 - 3 336, Fax: : (56 ) 6,2o -0 1 3 2
E -mail:
CONTRACTOR
Business name: 04E Lci % C.W. PE //7 '7 Le_ BUILDING PERMIT FEES* -
Address: (li G -4 9 5-,, 89 rk 2e , (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: g„ 4-ive 07& � j 7 2 2 1
_ FLS plan review fee (if applicable):
Phone: ( 56 3 ) 96, 7 33 3 & Fax: (5.., 6:2.6 °I 3 8
Total fees due upon application:
CCB lic.: I ZCp ZOO (, 0 -7
Amount received:
Authorized signature: . This permit application expires if a permit is not obtained
(( �� within 180 days after it has been accepted as complete.
Print name: "7 �(..) Date: 1 : /6/6 . 6 * Fee methodology set by Tri- County Building Industry
Service Board.
l:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440.4613T(I I /02/COM /WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
• City of Tigard Received Permit No.:
74 n 13125 SW Hall Blvd., Tigard, OR 97223 ssociy
C : Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIG A RD •
Internet: www.tigard - or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ye s No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ • ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ _ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements .
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. •
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray .
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc. . _
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non 0 ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations." .
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be . ..livable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
•
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ _
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ' ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I: \Building \Permits \BUP- RES- PermitApp.doc 03/21/06 •
Electr Permit Applicatio FOR OFFICE USE.ONL � '
City of Tigard Date/B /,,,,,,,./N.0 1� Permit No.: r . dt _ 9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
N ® Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK • PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps —1 rating ❑ Buildng over 10,000 sq. ft.,
. CATEGORY OF CONSTRUCTION of I -and 2- family dwellings 4 or more new residential •
❑ 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons 0 Manufactured structures or
. . ,-JOB SITE INFORMATION AND LOCATION " ❑Egress/lighting RV park
Job no.: Job site address: Tit _ ❑Health -care facility ❑Other:
i 3 e , 3 6 5 1 I . ( Submit 2 sets of plans with any of the above.
City / State/ZIP: .--7 -ice iJ g 7 Z Z 3 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'l 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.: 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: ,D Ii 14T'4 8 L 601 amps to 1,000 amps 240.60 2
Address: ) 36 3 G 51--) 1 i - rii & Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: ° (3-cc 0.2.,0 971_ 2-3 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with .
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits /
Contact name: without service or feeder fee, / 46.85 (p -g� 2
first branch circuit
Address: Each add'I branch circuit 7 6.65 1 '7. 5 "< 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
f / extension. Describe: Page 2 2
Business name: ar ric C."�C -
Address: 601 56 76' '7"` Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: 'z 7 /4/4 1 0, 9 7Z / 5 Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: ( ) Zs 1f � 553 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES *
CCB Lic.: [4/ 3 c j Z Electrical Lic. ;9110-- WC, Suprv. Lic.: /7, j Subtotal: (i6 , i)
Suprv. Electrician signature, required: 60 / 9-5 07 ( ' /07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): , 5
Print name: MzC / /ij 'L ,8g4_ 06-7v Date: -
TOTAL PERMIT FEE 7a, I q
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- PermitApp.doc 03/23/06 440- 4615T(l1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
:7 REkM1WI74:1 WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
E l Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
El Other:
`CO1tiIMERCIAL WORK ONLY:. -
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
El Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
E l Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC- PermitApp.doc 03/23/06
Mechanical Permit Application FOR OFFICE. USE'oNLY
City of Tigard Da BY Are ./ Permit No.: /G1,, _ •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' ('
Phone: 503.639.4171 Fax: 503.598.1960, '�. Date/By: Other Permit:
Inspection Line: 503.639.4175 , ' I Date Ready/By: Juris: ® See Page 2 for
Internet: www.ci.tigard.or.us _ ,--4 - I9,- Notified/Method Supplemental Information
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. CATE OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION . Heating /cooling
Air conditioning or heat pump
Job site address: J 3f, 30 5AI i/-1 ,4y& (requires site plan showing placement) 14.00
City /State /ZIP: — / d q 722 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 ❑ TENANT Chimney /liner /flue/vent 10.00
• Other: 10.00
Name: .t` D `W' , rA gA g Environmental exhaust and ventilation
Range hood/other kitchen
Address: i3(T3 4 v'J ,4 �Y t • equipment / 10.00
City /State /ZIP: •C;. / D C9 62-- 97 2z3 • Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. ❑ APPLICANT . ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: _ 10.00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
•
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: aLp Other:
Address: '3 5 2,v 6 ( / - f}.✓e- MECHANICAL PERMIT FEES*
Cit CE �C�� Ls,y --e7 D 2 �7 Z Subtotal
Minimum permit fee ($72.50) 7,,z,
Phone: (5 70 _ c 5 0 Fax: ( 56)3) 1 74 -42 3c' Plan review (25% of permit fee)
CCB lic.: 162 7 t 5 State surcharge (8% of permit fee) 5 g0
TOTAL PERMIT FEE 7? , 3v
�1 This p application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: `—vp- ` //) Date: (/r7‘, * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC- PennitApp.doc 12/03 440- 4617T(II /02/COM/WEB)
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
Apr 27 05 07:34a B &H Electric Inc. 503 - 254 -8553 p.1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
•
IMPORTANT PERMIT NOTICE
B & H ELECTRIC INC
604 SE 70TH
PORTLAND, OR 97215
Electrical Signature Form
Permit #: MST2006 -00094
Date Issued: 4/26/2006
Parcel: 2S 103DC -00809
Site Address: 13630 SW 114TH AVE
Subdivision: VIRGINIA ACRES
Brook: Lot Q07
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: Kitchen remodel, resize window.
Your company has been indicated as the electrical contractor for the permit indicated above. In 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:
FRED WATANABE B & H ELECTRIC INC .
13630 SW 114TH AVE 604 SE 70TH
TIGARD, OR 97223 PORTLAND, OR 97215
Phone #: 503 -620 -8856 Phone #: 503 970 - 5730
Reg #: ELE 26-1106C •
Lie 149392
SUP 1.797S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X c'
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
C'Ji,o„g),.
r" - -15 " j r+4 ( --t 50-5-(09`/-3&W)
- -- -
, CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: MST 2006-00094
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 412612006
Phone: (503) 639-4171 . till'INIA I ill\
Inspection Requests (24 Hrs.): (503) 639-4175 „,,INI■ 11.,
INSPECTION WORKSHEET FOR DATE: 606/2006 TIME: 7:05A1v1 PAGE: 45
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: Kitchen remodel, resize window.
OWNER: WATANABE, FRED PHONE #: 503-620-8856
CONTRACTOR: ONE CUT CARPENTRY LLC PHONE #: 503-969-3336
Inspection Request Scheduled For: Date: 6126/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032336•01 503-969-3336 N
Corrections/Comments/Instructions:
t ,' ir....711MILA.
■=1..
APOP
• T__JAW
i t&IDASS I I PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: el-hr Date: 4"Z4-.04 . Phone #: (503) 718-7.q/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/202008
Phone: (503) 639 -4171 itr i ll4
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 6/28/2006 TIME: 7:05AM PAGE: 46
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: Kitchen remodel, resize window.
OWNER: WATANABE, FREED PHONE #: 503- 620.8856
CONTRACTOR: ONE CUT CARPENTRY LLC PHONE #: 50 3 - 9 69- 33 3 E;
8-33:6
Inspection Request Scheduled For: Date: 6/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032335-01 503.969.3336 N
Corrections /Comments/ Instructions:
1A_Pe.,-e5TL
71; PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
Inspector: C-#1P Date: a- z4 -O6 Phone #: (503) 718- Z-6'/"(
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&O0094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2006
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 ,1 I L.
INSPECTION WORKSHEET FOR DATE: 6/2312006 TIME: 7:16AM PAGE: 9
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: Kitchen remodel, resize window.
OWNER: WATANABE, FRED PHONE #: 503-620
CONTRACTOR: ONE CUT CARPENTRY LL C PHONE #: 503-969-3336
Inspection Request Scheduled For: Date: 6123/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032280-02 603-969-3336 Y
Corrections/Comments/Instructions:
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I I PASS 0 PARTIAL APPROVAL CANCEL pi NO ACCESS
9 1 :I-FAIL ri CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: ci/iP Date: K 23-0S Phone #: (503) 718- 7.11717/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-0004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412612006
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 „Jai' 1 •
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02Alvl PAGE: 11
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SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: Kitchen remodel, resize window.
OWNER: WATANABE, FRED PHONE #: 503-6204056
CONTRACTOR: ONE CUT CARPENTRY LW PHONE #: 503-9693336
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 029641-02 503-969-3336
Corrections/Comments/InstrUctions:
•
X 1 PASS ri PARTIAL APPROVAL I I CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C Date: Phone ttf (503) 718-
CITY OF TIGARD
BUILDING .DIVISION PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 10
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: Kitchell remodel, resize window.
OWNER: WATANABE, FRED PHONE #: 503-620-8856
CONTRACTOR: ONE CUT CARPENTRY LLC PHONE #: 503-969-3336
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032280-01 503-969
Corrections/Comments/Instructions:
•
!■,-: PASS I I PARTIAL APPROVAL 1 CANCEL I I NO ACCESS
I FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: C..-14 Date: 6- 0,4 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: iViST2006.00094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2612006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 8
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SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: kitchen remodel, resize window.
OWNER: WATANABE, FRED PHONE #: 503-620-8866
CONTRACTOR: ONE CUT CARPENTRY 11..0 PHONE #: 503
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032280-03 503-969-3336
Corrections/Comments/Instructions:
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El PASS pi PARTIAL APPROVAL fl CANCEL fl NO ACCESS
FAIL 7 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: C-- Date: 6 * 2- S • 4 Phone #: (503) 718-
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13125SVV Hall B|vd. Tigard, OR07228 DATE ISSUED: 4K7612006
Phone: (503) 639-4171
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INSPECTION WORKSHEET FOR DATE: 5/10/I006 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 13630 SVV114TF|AVE CLASS OF WORK:
SUBDIVISION: V1RG\N\AACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: WATANABE
DESCRIPTION: kitchen remodel, rwsizewindow.
OWNER: VVATAMABE, FRED PHONE #: 603-820-88Mi
CONTRACTOR: ONE CUT CARPENTRY 1_1,C PHONE #: 503-969-3330
Inspection Request Scheduled For: Date: 5/10K2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
288 Insulation 029641-04 502'989'3336 Y
Corrections/Comments/Instructions:
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�� ' ASS I I PARTIAL APPROVAL I CANCEL - ri NO ACCESS
| I FAIL ri CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Ci/T / Date: «�^�/7' (/�` Phone #: (503) 718- x�~�°
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� 13125 SW Hall Blvd., Tigard,, OR 97223 DATE ISSUED: 6/25/2085
Phone: (503) 639-4171
Inspection Roquo�o(24Hnu.):(5U3)889-4175 "� ^
INSPECTION WORKSHEET FOR DATE: 5/1012O06 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: YVATANABE
DESCRIPTION: Kiishwn remodel, [wmizewindow.
OWNER: VVArAMABE.FRED PHONE #: 50820-8056
CONTRACTOR: ONE CUT CARPENTRY LLC PHONE #: 503'969-3336
Inspection Request Scheduled For: Date: 5/1[112808 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 029641'83 503-969'3335 N
Corrections/Comments/Instructions:
fl PART APPROVAL ri CANCEL fl NO ACCESS
FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: 614 � t P Date: —� �" Phone #: (503) 718'�^ ��
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIST2006-000N
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2006
Phone: (503) 639-4171 Alb
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Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM PAGE: 12 •
SITE ADDRESS: 13630 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIRGINIA ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: wATANABE •
DESCRIPTION: Kitchen remodel, realize window.
OWNER: t,NATANAt3E, FRED PHONE #: 503-620-0866
CONTRACTOR: ONE CUT CARPENTRY Li...C; PHONE #: 503-969-3336
Inspection Request Scheduled For: Date: 5/1012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
616 Mechanical rough-in 029641-01 603-969-3336
Corrections/Comments/Instructions:
64 LmJ 6 )C 15 1 -
M PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: _S 616 Phone #: (503) 718-6-4/,V.