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Permit
CITY Y OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00244 1A�' DEVELOPMENT H PMENg Tigard, 3 639 - 4171 DATE ISSUED: 8/18/2005 PARCEL: 2S1 10AB -04700 SITE ADDRESS: 14127 SW 114TH AVE ZONING: R - 4.5 SUBDIVISION: PP1996 - 069 LOT: 002 JURISDICTION: TIG Project Description: Addition: bedroom & 2 baths. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: 358 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 10 VALUE: 33,079.20 OCCUPANCY GRP: R3 BDRM: 1 BATH: 2 TOTAL: 358 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W /OSVOFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 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: 0 This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes RADUT, GEORGE OWNER and all other applicable laws. All work will be done in 14127 SW 114T1-I AVE accordance with approved plans. This permit will expire 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 rules Phone: 503 Phone: 503 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through' 952 - 001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 887.78 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Issued By : _ 3 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. r Building Permit Application FOR OFFICE USE ONLY - I � ��� City of Tigard UUII Received Date/By. 7 - /j 0;5"-0, Permit No.: -- �Sl `` Z/ J ', 13125 SW Hall Blvd., Tigard, OR 97223 P lan Review ED . Phone: 503.639.4171 Fax: 503.598.1960! 005 !0 *" 1 ` f ` Date/B Other Permit: Inspection Line: 503.639.4175 ■ =' . Date Ready/By: Se Attached Checkli for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: o � � Supple e mental In fo rm ation DI_III nI DIVISION 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 IcJ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1 -and 2- family dwelling ❑ Commercial /industrial Valuation: $ /5 00 ❑ 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:' „, / 2 s kJ. 1/4( "'Ye : New dwelling area: square feet City /State /ZIP: 7 I " G f / 6 OR ` 0 2z L Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: S 1,r/' Cot LE' i.jy. 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. 4.0t s t(' 6 I ' 4 Lz. ,/+ f}'i` N OW AV o /,9 i 31 j 7 4. Valuation: $ II*o 1 l � ©(9 M I Existing building area: square feet New building area: square feet 1I PROPERTY OWNER ❑ TENANT . Number of stories: Name: (G O1E e e g'A 41,1T- Type of construction: Address:. / it i 2 4- 6 GO 1(4 A ye Occupancy groups: City /State /ZIP: .rrt'6 6 e 'i72Ll Existing: Phone: ( 5-0 ) c2 Zl 5 Fax: (.3'(x'3) 2 p� 4C � � 3 ' 7 J 9 New: ❑ APPLICANT ❑ CONTACT- PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: CONTRACTOR Business name: ti ifi/ N E /C BUILDING PERMIT FEES* • Address: Please refer to fee schedule. City /State /ZIP: - / / Fees due upon application l ,T / , - 73 � Phone: ( ) Fax: ( ) Amount received CCB lic.: Date received: Authorized signature: :7 , This permit application expires if a permit is not obtained (� within 180 days after it has been accepted as complete. Print name: C O fe /4 / 3 C /7 Date: /4/) - * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Pennits\BIJP- PennitApp.doc 12/03 440- 4613T(I I /02/COM/WEB) .r One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard V- Received Date/By Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 ��"` » "niNINyl'ifj ❑ Elecrical ❑Plumbing ❑Mechanical 24 - Hour Inspection Line: 503.639.4175 . 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. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district al s royal ref uired. 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. 1 1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ [❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ [) over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ [❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be . . ilicable 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. ❑ ❑ 0 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. 1:\ Building \ Perm its \BUP- RES- PermitApp.doc 2 Electrical Permit Application - FOR OFFICE USE oNLV ° Received City of Tigard Date/B Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 A � ;� D , Other Permit: Inspection Line: 503.639.4175 e1,1 Date Ready /By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . TYPE OF WORK PLAN REVIEW ❑ New construction p Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location i , sq. ft CATEGORY OF CONSTRUCTION ❑Servof I ce -and over 2- famil 320 amps dwellings — rating ❑ Bu 4 or ildng more over new 10 residential 000 ., ❑ 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 plan RV park ` Job no.: Job site address: //1 / `L7 S , / j ii tj� ❑ Health -care facility ❑Other: / Submit 2 sets of plans with any of the above. City /State/ZIP: 7/ G4 14 6 0k 97 22 ly 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: 5 (U Co L E L,A/ 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'I 500 sq. ft. or portion 33.40 1 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: (,( 601 amps to 1,000 amps 240.60 2 • Address: / LH VC, 7 Sw /I I if Over 1,000 amps or volts 454.65 2 n Reconnect only 66.85 2 / ' City /State /ZIP: c 4 k jJ 0K , y 7 22 it Temporary services or feeders installation, alteration, and /or Phone: ( 56) G2 — S 99 Fax: (5b,) c 2,z-1-5-Li-99 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, d 701. 401 amps to 600 amps 133.75 2 se Owner signature: c C... -- ?/' ,_Ott/ Date: - 05 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 Contact name: B. withou t o ur ut branch feeder \ /" wo service or fed fee, / x \ • Address: each branch circuit 46.85 2 Each add'I branch circuit 2 6.65 2 City / State/ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax::( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- . CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: O 6 0) E f 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 ELECT R ICAL PERMIT FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board . * Number of inspections per permit allowed. i:\ Building \Permits\ELC- PernitApp.doc 12/03 4404615T(I0 /02/COM/WEB Electrical Permit Application - City of Tigard* Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ( RESIDENTIAI: WORK ONLY: ° I Fee for all residential systems combined ... $75.00 • Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm • ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: • COMMERCIAL WORK,ONLY: ` - - • ; Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls • ❑ Clock Systems El Data Telecommunication Installation El Fire Alarm Installation El HVAC ❑ Instrumentation • El Intercom and Paging Systems El Landscape Irrigation Control* El Medical • El Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 Mechanical Permit Application FOR OFFICE USE ON LY • • City of Tigard Received Date/By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /ivny;ll,0 „ I Date/By Other Permit: Inspection Line: 503.639.4175 a•_I I I Date Ready/By: Jugs: 65 See Page 2 for Internet: www.ci.tigard.or,us Noti fied/Method: 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 4 Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ El 1 - and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi For special information use checklist. • ❑ Master builder Other: Description I Qty: I Ea. Total ' JOB SITE INFORMATION AND LOCATION ' ' Heating /cooling Job site address: / -7 I . S . 0 / I �./V Air conditioning or heat a e ^'hr' (requires site plan showing placement) 14.00 City /State /ZIP: 7 f 6 ©R 5172271:1 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: S (,L7 c F Lr( 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 4 Other: 10.00 Name: g Q- 4G 4 4\ a7 ' Environmental exhaust and ventilation Address: / `'i 4 ,2, 7 s Z , u /,4 6 v6--, Range hood/other kitchen 10.00 City /State /ZIP: , 4 OK' 9 7 z , " r Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (5 6 2 / 3 `7 - 5' 9 9 Fax: ('j OS) 6 2 1-1-5-Z1 9 9 toilet compartments, utility rooms) 6.80 . ❑ APPLICANT ' ❑ CONTACT PERSON' Attic/crawlspace fans 10.00 Business name: Other: 10.00 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 ,�7 `i 4 t p / ( Clothes dryer (gas) Business name: C � W t V 1't., Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) • Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE p / This permit application expires if a permit is not obtained within 180 • Authorized Signature: (=..L,r days after it has been accepted as complete. Print name: ,7 z__/ r4___ Date: 7/ /if / a 5" * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pennits\MEC- PermitApp.doc 12/03 C le 6_8:- ,n s 440-4617T (11 /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 t Building Fixtures Plumbing Permit A I lieati idED FOR OrFICE USE ONLY D 1. 1� u Received City of Tigard Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 y p Date/By Phone: 503.639.4171 Fax: 503.598.1960) IL 1 2005 //d n7 . \, Other Permit No.: Date 24 -Hour Inspection Line: 503.639.4175 ■ 1 { • Date/By. Date/By. ,nris Internet: www.ci.tigard.or.us CITY OF TIGARG�• I- y _ �� rtaylytat Notified/Met hod: j RI Supplemental See Page 2 for upplemental Information c an lil I t Il.r �tltf+�BtcJUu TYPh- O�VORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total igl Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 ❑ 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 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ' JOB SITE INFORMATION AND LOCATION • Site utilities Job site address: / 11 / 2, 7 S ' w / / 4t 4 /jam Catch basin or area drain 16.60 City /State /ZIP: 'f7 164. l' © or (7 7 2.2, Li Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 / Manufactured home utilities 110.00 Cross street /directions to job site: 5 C 8 L O L ..( Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: _ Absorption valve 16.60 ,DESCRIPTION •OF. WORK . Back flow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT . Drinking fountain 16.60 ,/� Ejectors/sump 16.60 Name: ( /L G-.& /[ 4 / (- f 7". Expansion tank 16.60 ' Y'..� ' Address: 2.7 sick.) ` 14. ('L Fixture /sewer cap 16.60 City /State /ZIP: ! ! tt_! -J4,Q 11 a / 7 2 2_ G/ Floor drain /floor sink /hub 16.60 Phone: (spa) 6 2 4_ 54' 99 Fax: (57 2 J - / _ 5 y v7 Garbage disposal 16.60 ' ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 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 DN. 16.60 Phone:( ) Fax::( ) Tub /shower /shower pan / 16.60 • E-mail: Urinal 16.60 CONTRACTOR, Water closet Z 16.60 Business name: O UJ /0E 2 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 Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: G_ �r i2tix��. TOTAL PERMIT FEE Print name: 6, -d� .. R 3¢ 1)U 7 Date ? // VD 5 - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. is \Building\ Permits \ PLMF- PermitApp.doc 06/05 440-461 6T( 10/02/COM/WEB) i Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site U.ti lines ' . Qty. Fee (ea) Total Square Footage: Permit Fee: • "'' .� Footing drain - 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 - Valuation: - • Permit Fee: . $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture' or 'Item Qty. Fee (ea) ' Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow 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 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. 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: - Plan Review for Complex Structures 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. ` Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped ' Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool 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" -4 Car Wash Drain Isometric or 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 *Note: 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. 1:1 Building \PermitsWLM- PennitApp.doc 07/06/05 CITY OF TIGARD ... BUILDING DIVISION ,, PERMIT #: AS72005-00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1812005 Phone: (503) 639-4171 ,.„ rtiliiit Inspection Requests (24 Hrs.): (503) 639-4175 . ./..--. INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:05AM PAGE: 30 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1996 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE. PHONE #: 5 0 3- 62 4 6 4 99 CONTRACTOR: OWNER PHONE #: 503 Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031919-01 503-624-5499 N Corrections/Comments/Instructions: ------ - DASS n PARTIAL APPROVAL 0 CANCEL El NO ACCESS FAIL I -I/CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: • — Date: L ---t 9---d & Phone #: (503) 718- CITY OF TIGARD s. 1MS i BUILDING DIVISION PERMIT #: Y6 S`. 00 2V 1/4- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � r� � ' itif � l Inspection Requests (24 Hrs.): (503) 639 -4175 . _41 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 4 ` T CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: k -- ( S PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message c Corrections /Comments /Instructions: 111. VW mor • I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL IN CALL FOR IN PECTION n ADDITION * L FE. S ASSESSED Inspector: AFWA Date: _ C�'�� 'hon #: (503) 718 - �'� `— CITY OF TIGARD ili 57 BUILDING DIVISION PERMIT #: <ADd S - dC> aZ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 l �i, @ il Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / / a /1 ` r CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- / 5 �'() C Pour Time: Code # Inspection Description Confirm # Contact # Message .-- 'F-Nrr),.iv-IL.,„.` cc ___ Corrections /Comments /Instructions: 9! PASS ❑ PARTIAL APPROVAL ❑ CANCEL Ti NO ACCESS ❑ FAIL / CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /Iij Date: _7''/S — sue Phone #: (503) 718- CITY OF TIGARD 6 s BUILDING DIVISION PERMIT #:a 4s-ZJ6)a `(' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 k_ ub1iugi�pl'lI`I �-� A Inspection Requests (24 Hrs.): (503) 639 -4175 —{ t/ g— c Dc , INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: I D CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: • PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - / 3- D(o Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • (o t ' AP0.s3 -ors . 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAI I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: J 1 Date: 7 17 i v Phone #: (503) 718- Q(7,06. CITY OF TIGARD _ .. BUILDING DIVISION PERMIT #: IVIS 2006 -10244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/10/2005 Phone: (503) 639 -4171 A sol�u tiI� Inspection Requests (24 Hrs.): (503) 639 -4175 1..!. INSPECTION WORKSHEET FOR DATE: 2/13J2006 TIME: 7:03AM PAGE: :36 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: pp1906-068 LOT #: 002 TYPE OF USE: PROJECT NAME: RADU'T DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 503-624-5499 CONTRACTOR: OWNER PHONE #: 503- 624 -M99 Inspection Request Scheduled For: Date: 2/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 026760 603 N Corrections /Comments /Instructions: k , . . ---, c:ALL/A--- _c_.)-(-66L1 lee'lk---- 1 asPEr 1 (6 lS r ,` ,� i t _ _ ( ' 'Kno f ---- o (�•) 1 rte' _ ..... ff. \ (3(:I1 LF (- . \ p___ i'qJb EtU 0 G c_. Cc b R i,K-t----Ttale-5 --t2,---oz,:,--c L Jr�ire 110, Tr IOW I kmL. i,s -()/c.. ea ' ai ---- 7E: 1 il : . , r 4 ,4 4 c, r\ I I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Date: I Phone #: (503) 718 - ZV----5 ___a:474.,_________ TI m d td/ CITY O F GAR D ` BUILDING DIVISION PERMIT #: MST2O0%.0O244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: t?/18/2005 Phone: (503) 639 -4171 ttin tit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7 :03AM PAGE: 29 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1996 - 0G9 LOT #: TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 603..624 -5499 CONTRACTOR: OWNER PHONE #: 503-624-5499 Inspection Request Scheduled For: Date: v25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 025709 -01 503-624-5499 N Corrections /Comments /Instructions: • • X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ( 1 Inspector Date: / I 2 0 Phone #: (503) 718- 2-79 CITY OF TIGARD . i• BUILDING DIVISION PERMIT #: MST2005-00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Ahyl l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7:00AN4 PAGE: 9 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP 19396 -061 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT GEORGE, PHONE #: 503 - 624 -5499 CONTRACTOR: OWNER PHONE #: 503-624-5499 Inspection Request Scheduled For: Date: 12/8/2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 023160 -01 603. 6245499 N Corrections /Comments/ Instructions: ` I`� �r _, _..,_ :� , - ,o) ( , Fo p � __� •� ". , Ado ,SASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FeR INSPECTION I ADDITIO AL FEES ASSESSED I nspector: 4 � , Ark Date: N Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ivi5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639-4171 „„. aist I ti Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 619 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP 199 & 069 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 503-6245499 CONTRACTOR: OWNER PHONE #: 503 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 031468-02 503-624-6499 Corrections/Comments/Instructions: c i7 51 / t e / 4:5 4 1 .. DASS I I PARTIAL APPROVAL CANCEL El NO ACCESS fl FAIL I I CALL FOR INSPECTION Ej ADDITIONAL FEES ASSESSED Inspector: C-11 Date: 4 ?O Phone #: (503) 718- Zg e -- C ITY OF TIGARD . ,. , • ,. 1 . BUILDING DIVISION A PERMIT #: MST2005.00244 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8118/2005 Phone: (503) 639-4171 e spiptilil Inspection Requests (24 Hrs.): (503) 639-4175 Afg• - I -- INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7:05Am PAGE: 47 674/ SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1996 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RAM GEORGE, PHONE #: 503-624-5499 CONTRACTOR: OWNER PHONE #: 503 Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 025045-01 503-6245499 N Corrections/Comments/Instructions: O P IF, A 4 7 ....1 • , O' ■ 7 - -— • n fl PASS -' - TIAL APPROVAL Oi-GANCEL fl NO ACCESS FAIL 7 CA/LL FOR INSPECTION n ADD4TIO L FEES ASSESSED ■ _ _ Inspector: Ardilli Date: 0 Phone #: (503) 718- W r . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200Er00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B /1B12005 Phone: (503) 639 -4171 / llI iNl � Inspection Requests (24 Hrs.): (503) 639 -4175 ��' A:_.. INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7 :01AM PAGE: 25 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1896 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 503-624-5499 CONTRACTOR: OWNER PHONE #: 503.624 Inspection Request Scheduled For: Date: 12!14/200 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 023473-01 50'3-624-5499 N Corrections/Comments/Instructions: . - ter _ .. �'' Ai ,4 �.,► /i ce - P • PASS H PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: itr/ I Date: i / I I / Phone #: (503) 718- ) • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00244 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1812005 Phone: (503) 639-4171 teippl01# Inspection Requests (24 Hrs.): (503) 639-4175 „ IL INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 37 • 6 Alift SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1996 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 503-624-5499 CONTRACTOR: OWNER PHONE #: 503-624-5499 Inspection Request Scheduled For: Date: 6/90006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031468-01 503-624-5499 Corrections/Comments/Instructions: - - - pt--1 • FA PASS I I PARTIAL APPROVAL El CANCEL n NO ACCESS III FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CthP Date: 4 .9- 0 Phone #: (503) 718- e . - - • CITY OF TIGARD . BUILDING DIVISION PERMIT #: IVIST2005.002M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639-4171 . w ho p i . Inspection Requests (24 Hrs.): (503) 639-4175 t ..„ _ -_. INSPECTION WORKSHEET FOR DATE: 6/8/2006 TIME: 7: 03AM PAGE: 79 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP1996 LOT #: 002 TYPE OF USE: PROJECT NAME: RADUT DESCRIPTION: Addition: bedroom & 2 baths. OWNER: RADUT, GEORGE, PHONE #: 603-624-5499 CONTRACTOR: OWNER PHONE #: 503 Inspection Request Scheduled For: Date: 6/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031365-01 503-624-5499 N Corrections/Comments/Instructions: . 4Ib ‘ &ro v i z Ptv PavAll ttl'i?--KaL 16 • ?NcN\71-- I .,-A(. L TYYN A1(.4.1-( .(putiy:06) I I PASS I I PARTIAL APPROVAL El CANCEL El NO ACCESS FA IL A CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G N(SIBLiG Date: 6 - t( o6 Phone #: (503) 718- \' CITY OF TIGARD° - - . BUILDING DAT DIVISION OR 97223 PERMIT #: Ms-r2005-00244 DATE ISSUED: i l i i t /200 , Phone: (503) 639 -4171 g a'a4 $111181" �'�\ Inspection Requests (24 Hrs.): (503) 639 -4175 - f'I I INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7:0„ M PAGE: 45 SITE ADDRESS: 14127 SW 114TH AVE CLASS OF WORK: SUBDIVISION: PP199G - O59 LOT #: 002 TYPE OF USE: PROJECT NAME: RAiDUT DESCRIPTION: Addition: bodr000rn & 2 baths. OWNER: RADIJT, GEORGE, PHONE #: 503.024 CONTRACTOR: OWNER PHONE #: 603.624 1 Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: Code #. Inspection Description . Confirm # - Contact # Message 120 Electrical rough -in 025046.01 603-624-5499 0, N Corrections /Comments /Instructions: /sq _ - zZ-L- Piz_ IT C) v7 1,1/ 77+ oi Uri c,(.1 — _- Agi,--s o C41_L_ r� i. S -------__(- Vcs— �S 6 , 7' ..E. ry _ — "'t. c 4 i Lat r f/ IPA -ASS 7 PARTIAL APPROVAL n CANCEL • ❑ NO ACCESS IN, FAIL , L,.FOR INSPECTION H ADDITION L FEES ASSESSED Inspector: ■ Date: t V� Phone #: 503 . C' ' . (503) 718-