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Permit CITY OF TI MASTER PERMIT PERMIT #: MST2005 -00277 . . . ,...,.. „ � ,1 4 � DEVELOPMENT SERVICES DATE ISSUED: 8/3/2005 1 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103BD-06000 SITE ADDRESS: 12716 SW 116TH AVE ZONING: R -4.5 SUBDIVISION: HUNTER'S GLEN LOT: 016 JURISDICTION: TIG Project Description: 200sf. upper level addition. Other mechanical is duct work. • BUILDING REISSUE: CUSTOM n 7 ) STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: - (T HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 200 sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT: VALUE: 18,480.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 200 sf 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: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: W0ODSTOVES: 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/O SVC/FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 7 SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt . PLAN REVIEW SECTION • Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: • BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes HAYDEN, DARRON R + WENDY and all other applicable laws. All work will be done in 12716 SW 116TH AVE accordance with approved plans. This permit will expire TIGARD, OR 97223 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: 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: $ 569.64 1 - 800 - 332 - 2344. , REQUIRED ITEMS AND REPORTS • • Issued By :g f'... /,,A Permittee Signature • WAWA ili _ 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 • •sect. Approved plans are required on the job site at the time of each inspection. Building Permit AprUication r.,‘.." r.,‘.." V . al FOR OFFICE USE ONLY City of Tigard ReceivedGe Date /By: b � 5 e Permit No.: _ _60� 7 rt 13125 SW Hall Blvd., Tigard, OR 97223 c in05 Plan Revie� Phone: 503.639.4171 Fax: 503.598.1964Q�G J ,nl ' ° ' Date /B Other Permit: Line: 503.639.4175 TIG1� 1� " � I tt� Date Ready /By: El See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF RD Notified /Method: V Supplemental Information BUILDING DIVISION ; :. ORK .,, ,... ,. .., .,, >..... R '� : t1T,4, �A FAMILY' €� a �, „DWELLI4 1,,.,:.:sa,;:_ � , �', . ; .;_.: ",; ", r,'�;'� ,'TYFE.; s »��- EQ� UIRED D � ^; �<<�3� 13,,, ''rte r,>e< C <' i '... ; ��:� OF - ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value Addition/alteration/replacement ['Other: equipment, materials, labor, t overhead, and the profit for the ' " r , � ' °_�:� � work indicated on t is application. i�. •, r��_. ,.',40,.'„'„'''',-,-, _CA1'EGORY`,0 _ COIVSTRUCT€ION; 'y,,;.: ,, ; . Valuation: S-tvg tJUC7 )' a( 1C) �I and 2- family dwelling ❑ Commercial /industrial / CI Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ['Other: Number of bathrooms: : ;� ., €,, #z:'. " '' °` , ' : ' Total number of floors: r; iK49,ilrSTIRJN)KORMIATraAND L•'OCATION' •'; '" P. Job site address: 1 21 l (0 Su3 11(07' New dwelling area: 7_ square feet City /State /ZIP: 1-- / (� t o, e b De_ C 1--72-'2-: Garage /carport area: square feet Suite /bldg. /apt. no.: Project name: N Ay - KeS ,n njC� Covered porch area: square feet Cross street/directions to job site: e (A ) L) A L �-7- Deck area: square feet Other structure area: square feet ' DATA ' JS1 =.CHEC ,:�''. .:, :,,,,,,,,,' 3'; M, rAngLM ,,,A ,,,;, >,, , �r.>; Rte: ;',dW Subdivision: 7"'1lil 1\ITEI7.S & L 1J Lot no.: 1 (, 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 ' 0' ;•. ° €; ,s- ;'sue >> y .4 ,:,, equipment, materials, labor, overhead, and the profit for the �' 'fi ;`` ",, r >_• ,£ -�;;c, work indicated on this application. u DES,G ° °RIPTIOPV.= UF�WORK ;.�„ , P A lm A s r V D r L02 F6 Valuation: $ tJ fi P f Existing building area: square feet New building area: square feet `t°: PBOPERTY,'OWNER': ' 'a; e TE a < Number of stories: ' Nanie: ' 'ig F-tA�Da-NI Type of construction: Address: ' 7;1 I (p _) 1 I LP Occupancy groups: City /State /ZIP: —r' 1( .i - ei 0 /L CD 1 � �3 Existing: Phone: (S03) •j y4'- - j'33 Z Fax: (5'03) (�Av - e 44 New: ., . . .`�� .' �. , ,. • .,,.: 3,i ,. ;'�ma:.:e'>, '��';,, .:ua �: i rA'mz. 4s:� , A . . .- - PR'CI ANT . , . . r ,.._ , _ 3 s t , - G'�ON ''' ' SO � ,..; -. ..,• ,: .�: ..,... . ;��.•�, -•;. �� � ' -: NOTICE ; Business name: All contractors and subcontractors are required to be Contact name: ' Th /1 �� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12%11 io S Cu 1 jurisdiction in which work is being performed. If the - City /State /ZIP: applicant is exempt from licensing, the following reasons T1 A„,_. 1, 2 1123 apply: Phone: (,52,z� s74_3337__ Fax:: (5- 56,s 3) g - Eisditz, `��► E -mail: .� lArYDel■ e I I 14 1 1,,a /� —eAlcm t I� CZZS - Cone\ ` -'4 i f it ;ir> 3t3.,' ,, Business name: .�. €,3,. 'h,�. _ -, .. ,. s„ .,,. ,,, _, ., A•r 9:r „Y;'`,'., ,., - -... :.:�.a t " "'`"vd'�' a`��•; ;;:. .,, >>� ,...i .. .,. ,a.... i£ / ..,.,: .:., r . �, "afaap a ,•r. -' '1;,,,141 __ ., 1, - 1-- I" C�%I ST�i1 c 71 Q ,J -= 'v >µ °,BiITIi ' ' G EFRMLT FEES *< , Address: 11 -717 c M tR 2L\ s � � Please refer to fee schedule. City /State /ZIP: L A 1.-- OSwtn' Cam, ° J 70 Fees due upon application Phone: (sD3) S - (4 'Z2c"--- Fax: (9p3) Cp - - 3377 Amount received CCB lie.: S-C-5c- -2 Date received: Authorized signature: Thi permit application expires if a permit is not obtained , t within 180 days after it has been accepted as complete. Print name:A I l�s ,(�Y P3 Date: c 6 /Th / * Fee methodology set by Tri- County Building Industry Service Board. i'\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I I /02 /COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY ' City of Tigard. Date /Bya Permit No. j/ A - a7, 13125 SW Hall lvd., Tigard OR 97223 Plan Review Phone: 503.639.4171 t it' Fax: 503.598.1960 hoyerIY` Other Permit: '�I� Date /B Inspection Line: 503.639.t4i1_75 3 1 t• I Date Ready /By: Juris: 0 See Page 2 for Internet: www.ci.tigard s Notified/Method: Supplemental Information .;'•'n HE o�•r..t Z � eEs, „•,r ,.. �..... "PLAN V E. ;� �„ �... ORK. �, E€ q:E ; RE r. P r I=1 New construc aLi r `Add tion /alteration /replacement Please check all that apply: ,- ❑ Demolition 1=1 Other: over ['Hazardous ID Service r 225 amps, comm'l Hazard location Service over 320 amps rating ['Bulldog over 10,000 sq. ft., Rind ii "i CATEC.ORYk;.OF;,Orri* RUCTION P .: of 1- and 2-family dwellings 4 or more new. residential ' � ; rsv „•.�ehai�»3�xn�E,a��. ', "�.+ ' ' y g g I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi- family ❑Master builder ❑Other: EBuilding over three stories ['Feeders, 400 amps or more _,,.- , ::,', ,.<,,,- .,...,...,;,:.,st ... persons red structures or : y ❑Occupant load over 99 e ['Manufactured s,� Y, ii€ `°° O8 �SITI: - INE0R1tiIATION 'AND OCA'TION`. ' ' "' E',, ; ., E ress /li htin plan p c,,, �' ,.. � <;�- J..,,,.,... . `.. , ...,,��„ ' v, ,,,......,.� ..,... ,. .... , .�• , ❑ g g g p RV park T4 ❑Health -care facility ['Other: no.: Job site address: 17 ( (O Submit 2 sets of plans with any of the above. City /State /ZIP: --7 ,o OR — C" Z2-3 The above are not applicable to temporary construction service. t;,' 3 t?,: `. EE' *: SCHED,ULE ' - '' , r'' ' 'e ,e, Suite /bldg. /apt. no.: Project name: *. _ Description Qty. Eee. I Total Cross street/directions to job site: l CO A _Itkiu New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 14 U r4 7,6:: �5 4 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 ,_. >.,,,?>w' .:..:..:.. : - ill x,10 ESCRIP"'TION�k,OF RK.;, _� ":;- `ri•��':. �;; �,,, „�. .., x , ,,, , Each manufactured or modular ,...<. .. ;u� "• „� ,.i. , �- bY_...��.a....,, ,., <r ..,<, �� -n .... ��- //�� / N dwelling, service and /or feeder 90.90 2 A ivl t A cD sh 2 ilo n acs _ Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 . , .:, -3 - & g:< < i ;,3” ',.- sr,: `'a3:;' ....,;, ,: :.; 201 amps to 400 amps 106.85 'ROPERT.Y -O �<•, �,i tort • ::::,,x, ❑'.TENAN ` r' i . ,• ..,._ -„ .,:,, •,.E � -.: , ,,, ,; • 3' ,;.,` < . , � 401 amps to 600 amps 160.60 2 Name: -AAA n ( 77 -I A ' f p 601 amps to 1,000 amps 240.60 2 Address: 12� f �.P S\j I 1 �T✓ Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: �) (1 A41 D p2 c)— c)- �- Temporary services or feeders installation, alteration, and /or Phone: / relocation (�tfs S Z -3 Fax: (�0 3) ° J(p g �� 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 exchan•etlacc•rding to ORS 447, 449, 670, a d 7 1. 401 amps to 600 amps 133.75 2 w �' Date: 3 — extension, per an Owner signature: r ,��,, Jo S Branc circuits new, alteration, or extensio , pe I p e 's': �� � �` °" ` °�� °' A. Fee for branch circuits with 1, "„ ., ;[[CANT ?;, ,'; a•„ ®. CO3 TACT''PERSON ;` °? '- service or feeder fee, each 6.65 2 Business name: branch circuit . Contact name: 1f'„1�� �I , ' f Q 4 B. Fee for ...service circuit 46.85 2 without service or feeder fee, each branch circuit Address: G ,Z- •A S ik&nip Each add'I branch circuit .11 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) - Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - „' n,,;' -;1 i9;r panel, alteration or =�v ,, t;�.. ��`;� `,CONTRA T,OR:...:`, ' ;i� ", . ''�s��`„ 3 �., >.r:� �; energy a r »... ,.E� €• ,,., .,. .. =�_ y. ,.. ,,,>m..,an:, .�,.... �..._. - „v . ,,.,�e>,;(;�,a,,.'.:E'.r�. ...,. .._ -,-�4- ... ,�—_ 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 Industrial plant per hour 73.75 Phone: ( ) Fax: ( ) ., r_..,.,., EL CTRICAL.,PERMIT0EES *:` M:;.;,.a:,`:E CCB Lic.: Electrical Lic.: Suprv. Lie.: Subtotal 93* Yo 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.\ BuildingTennits \ELC- PermitApp.doc 12/03 440- 4615T( I 0 /02 /COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City 'of Tiard ir r ° l� e ®E Eew Permit No.:M 1").— 00 13125 S W Hall Blvd, T O 9 29,,� t om ' Phone: 503.639.4171 • Fax: 503.598.1960 &s�W i t 1 1 l Date/By: Other Permit: Inspection Line: 503.639.4175 t z y 2 J,1, ciJ Ii Date Ready /By luris: 0 See Page 2 for Internet: www.ei.tigard.or.us AUG 3 2005 Notified /Method: Supplemental Information , r1G TI( = � . T � , i, �7i . �, ,,. r =�;Y`;` „ , <: `C01• �t1tT ER CI. ALNF' EESCHEAIILE .;'USEtCHECKLIS,T.:� �,;�'., ' ~:. ..._ .-- ,�..,.... a. �;; �»:._ � :�, = = � t .���� l..M � �., .�� � ,: „ ��.��. ;_..._ _. .,, .s�� � ., .. p .,,,., _�_ ... .. ... ,.,.. .� -.. z_ . ...� �,:, .. . I] New construction t_✓y 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. . _.; ;3 « .0 ., ;, ;. Value: .., .:". : , < ,,;,`„ ,a; .' ' :' C OFTC4N TIUN , ; ' (�l - and 2-family dwelling ❑ Commercial /industrial El Accessory building ° ,;iaNPE .F9V.IPMEN,irA, ,YST 1! ' z <vz �, = For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total �. � � »,� °.� „�� .,.. OB SI =1i✓n�= INIOR�17A' I 'IONANIi:,<I;C1CA1'IO1V:'`::.,: � " s , .,:; ' s =,, �; H coon a° v.., �:'�� " =v � ,_ ° -- ._. .. .._ .._. .__ .,. ,.��.,.,� x�:�`�'= am.' �; ,.nr.r „z,wvsr,,,.,.,..�,x��,v,, ,..,,. . =,w�.' �.' ?dt = ?��.�Sb= „s��; � �, // `� f ( Air con diti on i n g or heat pump Job site address: 2 '1 rep I I Co (requires site plan showing placement) 14.00 City /State /ZIP: - � I <21 O FL ° J ZZ Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: /1-1 I �/ 6/D Furnace 100,000+ BTU (ducts /vents) 17.90 �� Dal ILr 1C'� Gas heat pump 14.00 Cross street/directions to job site: (,) ( ►' 4 j 1 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 f U1 rtTf l �S ( / t0.1 l / Flue /vent for any of above 10.00 I Subdivision: Lot n o.: ( l,� Other: 10.00 Tax map /parcel no.: Other fuel appliances ,;;; ,: , :•: ,,1, ": -, p.. Water heater 10.00 : : : :A ``;i-:' -3 < °_ DES00:1 W0 '. `', : = , . °:n. =�, ,,�,.:�. -.: . �,, � � .�: -, �t=� .- . , � "< ;,, :..,mss �. <, , '. "yt:,.:.:. , � <s.... ":.c�;� ... ,., .. ��.;.;, ;; Gas r / fireplace 10.00 A Dp A Zt c . Zj ((pat Jr1e2 0 et, Flue vent for water heater or gas fireplace 1 0.00 Log lighter (gas) 10.00 T MD LA_ G t W © (Z.. Wood /pellet stove 10.00 Wood fireplace /insert 10.00 = , te Chimney /liner /flue /vent 10.00 r i ''; ;,;,. -:'TENANT .: �.,::` �P ROPERT:1' OWNER' _ -��;�` " z?;;�; � °��� ❑ -. Name: S' I .g , fl-c9 f 0 , / - J 4 k Environmental exhaust and ventilation N Range hood /other kitchen Address: 17,-71(.9 S I (p equipment 10.00 City /State /ZIP: - F K ita,O O a)71-1..'5 _Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (S 0'3 ) s 7-4- .2�-) -•r� -� Fax: ( 5y ) °J(nc� - 64-41 toilet compartments, utility rooms) 6.80 ;` =s!" , . Attic /crawls ace fans 10.00 r. �_,��,: �_A�„�=;��,,.v. � "� ,:..- :.:... ... ..::�� "ice,- r- ,�.,�,» , ��, �»n,. , : ' „�. he Business name: Ot . Fuel piping Contact name: 722 >�2�A N , 1-i14>CD M $5.40 for first four; $1.00 for each additional Address: � is - d1"S A &) ✓ ,e Gas p ea t p Gas hump City /State /ZIP: Wall /suspended/unit heater • Phone: ( ) Fax: : ( ) Water heater Fireplace E - mail: Range „ NTRA �T ' R'” Barbecue C C a, A O Business name: Q W , I,�� Clothes dryer (gas) ^f Other: Address: ,414, ^ : : PERM FEES* - A- .�, ` " ',,,,: City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: • State surcharge (8% of permit fee) TOTAL PERMIT FEE - 7 , g,.30 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 is \ Building \ Permits \MEC- PermitApp. doe 12/03 440 -4617T (I I /02 /COM/WEB) "'"Sep. 9. 2005' 8:58AM FERRY ELECTRICrIGAxv No. 7191 R 1 CITY OF TIGARD 13125 S.W. HALL BLVD. • 'TIGARD, OR 97223 *MI:4E 5 t) IMPORTANT PERMIT NOTICE SEP " BOONES FERRY ELECTRIC INC GM p F T IGARD PO BOX 628 BUILDING D N1S1�N WILSONVILLE, OR 97070 . . Electrical Signature Form Permit #: MST2005 -00277 Date Issued: 81312005 . Parcel: 28103 BD -06000 Site Address; 12716 SW 116TH AVE Subdivision: HUNTER'S GLEN Block: Lot: 016 Jurisdiction: TIG Zoning: R - 4,5 Remarks: 200sf. upper level addition. Other mechanical is duct work. 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, ATM: Building Division. . 3 No electrical Inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: HAYDEN, DARRON R + WENDY • BOONES FERRY ELECTRIC INC 12716 SW 116TH AVE PO BOX 628 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone #: 503- 524.3332 Phone #: 503 - 6824936 Reg #: SUP 4918S LIC 58482 ELE 3 -223C AN INK SIGNATURE IS REQUIRED ON THIS OR r / 'f/f---C Signatu P of Sue msin El p g ectncian If you have any questions, please call 503118.2433. CITY OF TIGARD , BUILDING DIVISION , PERMIT #: iViST2005•00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 8/3/2006 Phone: (503) 639-4171 ketipot,i A Inspection Requests (24 Hrs.): (503) 639-4175 _-44: INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:08Atvi PAGE: 16 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf. upper level addition. Other mechanical is duct work • OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503-521-3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # M e 299 Final inspection 029193-02 5034369-690 ) 1.._ ' ...) ' Corrections/Comments/Instructions: 'I v , ,e , VLPASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS fl FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED / Inspector: Oil P Date: ,__c* ' e '' 6 Phone #: (503) 718- Z' 91 911 CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST2005.00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:08AM PAGE: lB • SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200d. upper level addition. Other mechanical is duct work OWNER: HAYDEN, DARRON R WENDY, PHONE #: 503-524-3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 502006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029193-01 6'03-869 Corrections /Comments / Instructions: I KPASS 0 PARTIAL APPROVAL CANCEL 0 NO ACCESS 0 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: sin-0c Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: }- -0 Dom 7 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �inAe� Inspection Requests (24 Hrs.): (503) 639 -4175 „ A ' IL, INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 1/6.1 Ave- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: W ' PHONE #:533 333' 1_. CONTRACTOR: &V'-c7! ∎ PHONE #: Inspection Request Scheduled For: Date: 3 -3 -a ( Pour Time: Code # Ins ection Description Confirm # Contact # Message Oq rfidections/Comments/Instructions: ( fir / 6fI ti /.: %u • l /' / i A44-d '—'DA ( Y7/(,) 194- .44- I I PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS Pi FAIL I 1 CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: # / Date: 3"/?-Y069 Phone #: (503) 718- ` ` o CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00277 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 8/3/2005 Phone: (503) 639 -4171 naglib I- f Inspection Requests (24 Hrs.): (503) 639 -4175 � -.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01ANi PAGE: 99 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503- 5243332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in' 015823 -01 503- 524 -3332 N Corrections /Comments /Instructions: T- G c_ i -_- , - / Z • c,S y * N,/ o teA-L - Z - I mil G - C-- ,, /+I/ I PASS r] P; RTIAL APPROVAL ❑ CANCEL [11 NO ACCESS �❑ FAIL %ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. ,k, Date: 1/4 - Phone #: (503) 718- - CITY OF TIGARD f BUILDING DIVISION PERMIT #: MST200& -00277 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 8/3/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _��i °':_.. INSPECTION WORKSHEET FOR DATE: 9112/2005 TIME: 7 :04AM PAGE: 36 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf. upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503 - 5243332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9112/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 015408 -03 503-869-6949 N Corrections/Comments/Instructions: Co Ct, f_(?' o f Gkt-tip W Q. R-- 1-- i v i N (46w\ C1 '. ' Sr / i A b 0 'To 4 \ .4 YYN w 4 sik . r �0�11 0E' - -ktqs tt zN�k___. (--t.-ep I UAL. Q ,Q W \ w 0.\--L-- 0 (33‘i P1ct. d I `. r S C> 1 ( Q, . cts0. . V - cl. . utpf- -- h.icc, -- e - b - Lck - Ak- po,,,itz -36' _L:c--...AL s 4) ERs, 4 6 u---":"- cl'( eM.-, e ,,„ e 1-, ,-E-4L_ c-Lii , ❑ PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS VI FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: 3' f ' i N V B L* Date: 9 I I /40,5 Phone #: (503) 718 - 29I4 CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2005-00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639-4171 'flit Inspection Requests (24 Hrs.): (503) 639-4175 ......., INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01A1Vi PAGE: 61 ;./A SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTERS GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200si. upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503-62-3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # 1essage 199 Electrical final 029076-01 503-869-6947 ( Y Corrections/Comments/Instructions: ee• ___ _ , ' _ .. .-- "1Z - 3-5 t i---- ( . '... A , , r ....---- 1'-' ini . I /--/ I & --- /1/ '''' ' ' ( ...,....opt.) 11/ ■ - :C3 t9-1A - A/0 ,4 fl PASS El PARTIAL APPROVAL r7 CANCEL ANO ACCESS , KFAIL VI CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED r Inspector: C-14 iTh I --C Z' C7 (- Phone #: (503) 718- Z& 91 1 . . CITY OF TIGARD 1) BUILDING DIVISION PERMIT 2 -0O 2-7, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 - 4171 ..'t tlitl( Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: '3/2_2 /p TIME: PAGE: SITE ADDRESS: \ 7_ j \ \ ` l CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #52_ Z- CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: 6 - 01/ lq&it Q4Alt ( .•�.�1 4 ) e, %,mss) /Vo n PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS FAIL MI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ► Date: O` 4� Phone #: (503) 71 L C CITY OF TIGARD BUILDING DIVISION PERMIT #:01905 DD' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 it /pu��i 6'II :. a2 D t Inspection Requests (24 Hrs.): (503) 639 -4175 .. &!J — `__" INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: I D_7 / l0 I /Q 1 " Ave. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: D3— 5a-32. CONTRACTOR: Q/„_ , PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message -ti Corrections /Comments /Instructions: °`' --- ---- 9 e,,U„ zc,..14.4.e.c17.7e,J44 a p,e4cfc _ / > 1 _, r ' ' - ' i i r r e.X. Ae' ' .9' il / 2 O r _ 6 9 - gio,a/f-7,,-ai,,,e 7 1 -G - C /or e . te e %i 4/ ( 1,4,7 g 107 ‘ ,6„..die.7 PASS ❑ PARTIAL APPROVAL CANCEL • ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ?"4/47 Date: r ' Z • Phone #: (503) 718- 2 "T CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 1111 jilr"k Inspection Requests (24 Hrs.): (503) 639 -4175 �_! 1I _ INSPECTION WORKSHEET FOR DATE: 9/19/2005 TIME 7 :06AM PAGE: 32 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf. upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R +WEENDY, PHONE #: 503 - 524 -3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9f1912005 Pour Time: Code # Inspection Description Confirm if Contact # Message 280 Insulation 016025.02 503 - 5243332 N Corrections /Comments /Instructions: T S U7 Jd U +u • N A- L[— i.:// iv Dd .ad 0A/ ..0 L'.t s-,----#7i .k__.o, ASS ?PARTIAL APPROVAL _CANCEL ❑ NO ACCESS ❑ FAIL I/, , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '- Inspector: Date: !'��' Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 /* �1I Inspection, Requests (24 Hrs.): (503) 639 -4175 e'__.. INSPECTION WORKSHEET FOR DATE: 9/19/2005 TIME: 7:06AM PAGE: 33 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDFN DESCRIPTION: 200sf. upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R * WENDY, PHONE #: 503 - 5243332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 016025-01 503 -524 -3332 N Corrections/Comments/Instructions: • a I ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I t ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ,- ?":9,5 Inspector: —. – '— Date: Phone #: (503) 718- CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MST200S-00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 47 41111 1 ` @� °11 Inspection Requests (24 Hrs.): (503) 639 -4175 . - ''1 ,. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf. upper level addition-. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + VVENDY, PHONE #: 503- 524 -3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear vvalls/anchors 015931 -01 503-524-3332 N Corrections /Comments /Instructions: R6Pc /' /Z oS' ( ks 61K K c.& r ki S ._4: "—I_ i-- ____(----5 SASS pi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL . r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector A _ Date: � ` oS Phone #: (503) 718- . CITY OF TIGARD . BUILDING DIVISION - PERMIT #: MST2005 -00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 / viu tfp ii 6 �I Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.,_,W � ' .L. INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:01Am PAGE: a SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTERS GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf. upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + VVENDY, PHONE #: 503 - 5243332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 015931 -02 503 -524 -3332 N Corrections /Comments /Instructions: KE 1./a - o S l co iz 2i—� S cr G - ,, PASS /J Pa 'TIAL APPROVAL ❑ CANCEL n NO ACCESS III FAIL IN, • a LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: L ` Date: Phone #: (503) 718- CITY OF TIGARD ,. . BUILDING DIVISION PERMIT #: MST2005- 00277 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 8!3/2005 Phone: (503) 639 -4171 �mm u� n Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 9/162005 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf upper level addition. Other mechanical is duct work OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503 - 524 -3332 CONTRACTOR: PHONE #: ,.J.+ -t- v7 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 015931 -03 503.624 -3332 N Corrections /Comments /Instructions: �l:Po� i , /T -o KS Go 1�2L� /Sd s Co d"k- pc_< --- 6 - (_.-C- - I 4.1 Cr.- 2 c, u �-t K q _ a ` _ taws _ > C. . 1�_ f—� V ■ o [ -' . `i % '� — mr . Ara LIP d 4r g -.. .T V b �� i i ' r l 3 a r o S,��T - s" I� r___- Pic.1vK_ 'ooE Yc-_--- - L, PASS II ' A RTIAL APPROVAL n CANCEL n NO ACCESS FAIL �. J i LL FOR INSPECTION II] ADDITIONAL FEES ASSESSED Inspector: Date: ?16 0 ✓ Phone #: (503) 718- MIS CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST200.& -00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 / �a" ��iiglp ll Inspection Requests (24 Hrs.): (503) 639 -4175 11. . INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 38 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf upper level addition. Other mechanical is duct work OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 50''t- 524 -3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shur walls/anchors 015408 -01 503 -869 -6949 N Corrections/Comments/Instructions: -! di S u 9VG/r 5 ito i 9 ' 7 a 4, 4/ / 1 I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 9- /i- Phone #: (503) 718- q . CITY OF TIGARD . 0. BUILDING DIVISION PERMIT #: MST2005.00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 Phone: (503) 639 -4171 �4@ ii Inspection, Requests (24 Hrs.): (503) 639- 4175�'II INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 37 SITE ADDRESS: 12716 SW 116TH AVF CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + INENDY, PHONE #: 503 -52Q -3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description ,Confirm # Contact # Message 240 Exterior sheathing 015408 -02 503-869-6949 N Corrections /Comments /Instructions: �i ‹14 /ha S ,��e-UZ n PASS _ n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ai Inspector: / Date: 9 /E-- Phone #: (503) 718- ', CITY OF TIGARD .. .. BUILDING DIVISION PERMIT #: MSST2t70a -00277 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 802005 Phone: (503) 639 -4171 / a , �-0mlp�i @I�j� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 35 SITE ADDRESS: 12716 SW 116TH AVE CLASS OF WORK: SUBDIVISION: HUNTER'S GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: HAYDEN DESCRIPTION: 200sf upper level addition. Other mechanical is duct work. OWNER: HAYDEN, DARRON R + WENDY, PHONE #: 503 -524 -3332 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 015408 -04 503 -869 -6949 Y Corrections /Comments /Instructions: 1 coo Zc' Vey 6 P, - %v'e,O < 144, / 5 0 STGIC / ---- . c, ,- CX/ e_,.. L `S c) 4./.9.-/ 4- s > -TTJ / mod sr Prftier'ev, a- 9$ l,-, -7s _- - -/c.. 7 I PASS l ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: e? - Phone #: (503) 718-