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Permit tl CITY ®F TIGAR® MASTER PERMIT PERMIT #: MST2006 -10042 ,,,',1+i DEVELOPMENT gr SO SERVICES 503-639-4171 DATE ISSUED: 4/12/2006 13125 / PARCEL: 2S 110BA -00390 SITE ADDRESS: 14040 SW 117TH AVE ZONING: R - 4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Two story garage and master suite addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 19 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 960 sf GARAGE: 960 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 112,032.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 1 TOTAL: 960 at REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 CATCH BASINS: TUB /SHOWERS: 2 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: NAT FURN 5=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 0 MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: f 0 - 200 amp: W /SVC OR FDR: 1 0 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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 # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other SINA JAMSHED OWNER applicable laws. All work will be done in accordance with approved 14040 SW 117TH AVE plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 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: 503 590 - 6792 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 1,798.49 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 / / Issue By : Permittee Signature : - i� .., / r - i , ..„- .---,,.•/ Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busin -ss 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. Permit #: )---1 1 0 - (oo (A Addres • 4 1 (0 c) /(7-'= Issu d by: L . i / 1 // Date: "02 4 Statement: Information Notice to Property Owners About Construction Responsibilities Note: 4 Oregon Law, ORS 701.055 , requires residential construction permit a li- g () R P PP cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: X 1. I own, reside in, or will reside in the completed structure. - 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors,. I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will.immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Proper , '3 wners about Construction Responsibilities‘ on the reverse side of this form. i AI / - - e l il z IC, (Signa ure of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) ~ . I8�formmatyOn 0 Woft - eto Property Owners • • • � �. About ��r��u K� P�es��0��Dn'�~t`es . . ,,y,..pt information Noticeio Property Owners about Was developed by the CrnsrruIonC�ntrctcthrs Board in accordance with ORS 701.0550. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existinE structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EIVIF.LOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa residential structure, you vill, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at thetime employees are paid. You will be liable for the tax payrnent even if you don't actually withhld the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unem ployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378'3524. . Workers' compensalion insurance: As an employer, you are subject to the Oregon Workeis' Compensation Law, and mtlst obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may he subject to penalties and will he liable for all claim costs if one ofyoor employees im injured mn the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. • ` U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1'800'829'1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this p ject, you are responsible for resolving any failure to meetcode code requirements that may be brought to your attention through inspections. — Liability and properly damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for, accidents and omissions such as falling tools, paint overspray,, water damage from pipe punctures, fire, or work that must be re-done. 'Fime to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional qustions. write or call the Construction Contractors Board (PO Box !4\4O,Su|em 503/378'4h2|i The Board Suite ~ '~ prop-omn.pm4 1/94 ' 41 Building Permit Applie ` a' / 1 012 OFFICE USE-ONLY City of Tigard Received Date /B . , ) a _„- t • /AC Permit No.: OD ■ -- OP/ 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 9 2 ( � Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ett. fr r Date/By: A - Or ba - 04 Other Permit: Inspection Line: 503.639.4175 . " 1 Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGA' D Notified/Method: Supplemental Information BUILDING 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 l iZAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION - work indicated on this application. • Ai_ and 2 family dwelling ❑ Commercial /industrial Valuation: $ // 3& ❑ Accessory building 12 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB' SITE INFORMATION AND LOCATION Total number of floors: Job site address: /L / , S /.e J )/ (1 Avg, New dwelling area: 9 6 r ,, square feet City/State/ZIP: ( 1 a Cr a 6 q 7 7 Z Garage /carport area: �j 7, square feet Suite/bldg. /apt. no.: Q I Project name: Covered porch area: / square feet Cross street /directions to job site: 9 l --(-0 A 4 e 4. Deck area: square feet 1 Ave 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. Valuation: $ c / / Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: • Name: S i>nC.._ AA JT Sl,( /� Type of construction: 111 Address: '3 �� s W / 4' YI -lR c‘,. rt y 4/j" Occupancy groups: City /State /ZIP: - a rd 6,-- 172 2 3 ` Existing: Phone: (3) Jam^ 6 79, 2 Fax: (6 Gj 8 - b 7 t 2 New: ❑ AP PLICANT ❑ CON TACT 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: OA) 1 P N BUILDING PERMIT FEES* Address: Please refer to fee schedule. City /State /ZIP: 1 Fees due upon application r2_3--- 4ia Phone: ( ) Fax:( ) Amount received d CCB lie.: Date 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: _ ` / Date: j29 / ‘ * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- PermitApp.doc 12/03 440 -4613T(11 /02JCOM/WEB) • One- and Two - Family. Dwelling T* Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Date /By: Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 4ii„ / q,%61.4 24- Hour Inspection Line: 503.639.4175 _ p, j ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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. ❑ ❑ ❑ 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:\ Build ing \ Perm its \BUP- RES- PermitApp.doc 2 • Mechanical Permit Application . FOR OFFICE USE ONLY ` - City Tigard Received permit No.: Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /iu, ,n. Date/By: Other Permit: Inspection Line: 503.639.4175 ;;•_I_I ' Date Ready/By: ;lids: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST ❑ New construction jaAddition/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. CATEGORY OF CONSTRUCTION Value: $ 0_1 - and 2- family dwelling ❑ Commercial /industrial El Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: t: y! Air conditioning or heat pump ( 7 4 t) S (,J 6 r , ` '►' -7f 1 ) Y (requ site plan showing placement) 14.00 City /State /ZIP: —7; GPI G1 0 R et 7 -- Z 9 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 1 �c. 14.00 a Hydronic hot water system 14.00 5 /A/ I / La G. a: n , velt , 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 /I (� Gas fireplace 10.00 r� 6t / C/1 t o)/1 r . .f ait? t" C 6 f >' v✓. !` C J^ Flue vent for water heater or gas /� J fireplace 10.00 5 `� '' Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 ❑ .PROPERTY OWNER ❑ TENANT Other: 10.00 Name: !j 1`yL�,\ j /� 5 Environmental exhaust and ventilation Range hood/other kitchen Address: 1 .� '. 1 D 7 t•.l ` �' � l)'✓ P r , frvv7 equipment 10.00 City /State /ZIP: \ rry ,i, J c ei 7 Z Z 3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( - _ 5) ;j , v 7 a Z Fax ( ) toilet compartments, utility rooms) 1 6.80 ❑ APPLICANT / II 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 Business name: �—/ Clothes dryer (gas) Other: Address: / A J �� /// MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 l days after it has been accepted as complete. • Print name: S Y � / Date: 322_14/ d . Fee methodology set by Tri- County Building Industry Service Board C)1,,,,, , i:\ Building \Permits\MEC- PennitApp.doc 12/03 440.4617T(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:\ Buildin \Permits\MEC - PermitApp.doc 12/03 2 Electrical Permit Application - - : FOR OFFICE U S E ON - City g of TI and Received Date/B . Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 // ''�a` 11 + till {'1111 Date /B Other Permit: • Inspection Line: 503.639.4175 a l Date Ready/By: Juris: B1 See Page 2 for Internet: www.tigard- or,gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction I .Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., . CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential E 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi- family ❑ Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: -7 site address: Health -care facility ❑Other: y �O ` .5 ((7 � � Submit 2 sets of plans with any of the above. City /State/ZIP: ii � A y _ 0 t o g 97 z 7. 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 Cross street/directions to job site: New residential single- or multi - family dwelling unit. - f Includes attached garage. T( Q + C &eurk_ 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 . DESCRIPTION OF WORK Each manufactured or modular Ad / dwelling, service and/or feeder _ 90.90 2 is / 1 1,10'1. P /W 0 Ca,r 6 t~ -t'4 c. Services or feeders installation, alteration, and /or relocation /4144 /3 Cell / U . 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: I net M �j 04 S ke 601 amps to 1,000 amps 240.60 2 Address: ( 3 3 C} g r t �` 1 D r Over 1,000 amps or volts 454.65 2 `� Reconnect only 66.85 2 City /State /ZIP: [i ( R G Z 2-Z. J Temporary services or feeders installation, alteration, and /or relocation Phone: (5 ) S 90 - 6 7q2._ Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit 13. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 \ Address: first branch circuit \ / Each add'l branch circuit 3 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- CONTRACTOR energy panel, alteration, or �^ rr extension. Describe: Page 2 2 Busines ame: P c 5 C fe e.f y- L I n [. - Add ss: Each additional inspection over allowable in any of the above j 7 7 GJ /2, 3 g um Per inspection 62.50 Ci , /State /ZIP: 1.; / 61 „,1, 0 e q 7 2 '2 c1 Investigation per hour (I hr min) 62.50 Phs ne: (Sd3) C16'� - s c( Fax: (5-03 ) tf`70 - 9/ 3 Industrial plant per hour 73.75 'ELECTRICAL PERMIT FEES * C•: Lie.: � �� Electrical I..ic.: 311.57 Su Lie.: y -t - Subtotal Supr . lectrician signature re! . • - a • Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: Date: 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 s• Number of inspections per permit allowed. 1: \Building\Perm its\ELC- PermitApp.doc 12/30/05 440-46 15T( 1 0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: °RESIDENTItAI,'WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: El Audio and Stereo Systems* El Burglar Alarm El Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: 1, :COMMERCIAL " WORK ONLY: 1 Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ Building \Permits\ELC- PermitApp doc 12/30/05 Plumbing Permit Application ication , F OR, ' O h, F 1c E= I.;Sl owl � ' / s . , =:;..0.. , : - � City of Tigard Receives Date/By. No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 iG,, „ i Date/BY Other Permit No,: 24- Hour Inspection Line: 503.639.4175 ' I s' . .a.: Date Ready/By: Juris. 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information '4 'K - °�, * PEF WORK r ; ';‘A5,'•., ::7' FEE * -.SCHEDUL'E - ; ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total 14 Addition /alteration/replacement ❑ Other: New I - 2 dwellings y g (includes 100 ft. for each utility connection) CATE z.•, _ _ '-' . � ' GORY. OF. CONSTRUCTION ",:: n ,: s- • SFR (I) bath ''' 24920 14 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder 0 Other: r . r.. - Fire sprinkler ( sq. ft.) Page 2 , SITE INFORMATION AND LOCATION. : 1a-fa . , t „ • , k - Site utilities Job site address: /Zi J . 0 ( S' J � /17 �) A, ve Catch basin or area drain 16.60 - 1 - 7 2 7 - City /State/ZIP: ; 77 J G 4 .,�. 7 9 .� Drywell, leach line, or trench drain 16.60 - Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: 1 Manufactured home utilities 1 10.00 r street/directions n 1 ) (� /.i4 Manholes 16.60 �l/ -1-1 ' ` �7 ✓fi Rain drain connector 2 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 Tax map /parcel no.: Fixture or item Absorption valve ! 16.60 '-,':•-•‘-, • . - _ °DESCRIPTION O F AWORK'; , "' Back flow preventer Page 2 / / t> /G,i ( _/, o', 4 �, Backwater valve 16.60 Sh r /i2., `� . -40� Clothes washer 16.60 - Dishwasher 16.60 • 0 PROPERTY„O,WNER • , I n - _El TENANT:. Drinking fountain 16.60 Name: S, ^ Ejectors/sump 16.60 1 i Ly ,A1 JR PYI cARei Expansion tank 16.60 Address: / l /� SLcJ 6 k R , y Yl ye._ Fixture /sewer cap 16.60 City /State/ZIP: --7 i , - ' 7 Z 3 Floor drain/floor sink/hub Z 16.60 Phone: (643 ) ,5114,_ / 'l ffcz Fax: ( Q ) 5 - (7 ' -2._ Garbage disposal 16.60 • ❑ APPLICANT ' a •❑ CONTACT PERSON,' H ose bib 16.60 Business name: Ice maker 16.60 Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( ) Sink/basin/lavatory / 16.60 E -mail: Tub /shower /shower pan Z 16.60 Urinal 16.60 CONTRACTOR : 6 Water closet 16.60 Business name: N 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) Authorized signatu e: State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: 3 V J/ ^ � � Dat 3 � 2 �� This rmit a licatioo ex rres if a /, Pe pP expires permit is not obtained within (/� 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i \ Building \Permuts\PLM- PermitApp.doc 12/30/05 440- 4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ,� . µ. 's•;«.�.��:� .�: �;.. .9 < �:.. -.. . , _ =�Sclua>re.Footage . ,� ''Permaf Fee::. ��'... �_ t Footing drain - l 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 Valuation:.: _ ,; Permit Fee,, fiv Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each F ee r ea .` 1•' additional $100.00 or fraction thereof, to and • : Q�r: _ o a 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. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: ,- •�= ��'Pl�n` Review• for' Codnplez 'Structures��:`fFh� °�-� 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. • :r ., . 6 • ❑ Any new exterior plumbing site utilities FiZtuisTy *e: "= "�`- `' "s *�,�. � "2;,.,_ #�'� > i"..'a ^�;a� R ep l ace ` Y P g : ` Capped "Added "" Previous 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" Car Wash Drain '.Isometric'or:.Ri Diagraffi 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 ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i \ Building \ Permits \PLM - PermitApp.doc 07/06/05 stojanka 503 -234 -7471 p. 1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE AM PRO PLUMBING CO 2361 SE 54TH AVE PORTLAND, OR 97215 Plumbing Signature Form Permit #: MST2006 -10042 Date Issued: 4/12/2006 Parcel: 2S 110 BA -00390 Site Address: 14040 SW 117TH AVE Subdivision: Block: Lot: Jurisdiction: TIG Zoning: R-4.5 Remarks: Two story garage and master suite addition. Your company has been indicated as the plumbing contractor for the permit indicated above_ In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below ant return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: SINA JAMSHED AM PRO PLUMBING CO 14040 SW 117TH AVE 2361 SE 54TH AVE • TIGARD, OR 97223 PORTLAND, OR 97215 Phone #: 503 -590 -6792 Phone #: 503 - 544 -2653 Reg #: LIC 168112 PLM 26 -755PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x Signature of Aut rized Plumber If you have any questions, please call 503.718.2433. I , I I I , I 1 WPM 5TMET GENERAL NOTES 1. THIS SHEET DOES NOT CONTAIN INFORMATION RELEVANT TO PROJECT BIDDING OR CONTRACT VALUE I. THIS SHEET INCLUDES INFORMATION PERTAINING TO OVERALL CODE REVIEW FOR PERMUTING t S. USE EXISTING UTILITIES ON SITE FOR NEW ADDTRON t{ � i N yr t . RECEIVE I 1` ,,. ' a MAR 2 9 2006 fAU,_ u,, CITY OF TIUARD «nt o gtTTT,TIIN( DIVISION .�. / I . , ! o >z /2� S /A IIMMW,V/ CA w0�� CITY OF TIGARD - SITE PLAN REVIEW \ , �.,. ,..,1,1 : % 0 ° - in w av) ol ° n BUILDING PERMITNO.:U. i't. _ / / - r . �Y 4 I PLANNING DIVISION: _— Required R equired Setbacks: Approved ❑ Not Approved �� eA::cama — Side: '� Street Side: ( 5 COI. STYE 9 °°" Front. - Rear: (� ' OpG5 � Garage: ( `� Ur •1-0' Visual Clearance: [rApproved ❑ Not Approved FAEI Maximum Building Height feet Cl � ._ FAU Mined Ewy CWS Service Provider Letter Required: ❑ Yes o SITE PLAN ',b..- � AO .O eceived °• g : Date: (VII Ob SIN E NGINEERIN DEPAR MENT: el. 411IM Actual Slope: _% Approved ❑ Not Approved A0.0 Stte Pl • pproved ❑ Not Approved ^.. 1 By: Date: « J b • Notes: CITY OF TI BUILDING DIV PERMIT #: MST2006- 100*42 13125 SW Hall"Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639- 4171* Inspection Requests (24 Hrs.): (503) 639 -4175 11L INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 12 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. -: OWNER: JAMSHED, SINA PHONE #: 503 -590- 6792 CONTRACTOR: OWNER G.'■wor PHONE #: Inspection Request Scheduled For: Date: 8/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053402 -01 971 -732 -0972 N Corrections /Comments/ Instructions: CO s VWYLA S'&.a. 17 < FL-=-A k T \ f c � s IN f\pc � .) r i o,NoR-. 3 F2r17 ho" czNN `ToR, AND 14 t 'L 1 i ., - 14sil.1, G k--- ► CAL NEi• M INI C uNrp 5 ► t1 •o>4 E-xi 0 tN _ 50 I oCv L3F civ oticA t•t6). PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL [i CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: GY I 4 o A VIG Date: 1' 3 ' d1 Phone #: (503) 718- 2-4% CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200S -10042 13125 SW Hair Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 / rug n � Inspection Requests (24 Hrs.): (503) 639 -4175 ...'W :-- INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06; Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA ''� PHONE #: 503 590 6792 CONTRACTOR: OWNER G^ A2 � PHONE #: Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 049338-02 971-732-0972 N Corrections /Comments /Instructions: —..- 9E)Ps$k)$ ". Vg. PASTS . 1 PAIL. p A((`a Li O*2 , it - t Pe ry O 'fir Sc6NtA W Aif - k - o(t-- L ^. 4 gaaNt,GY' •► 6 ci t.1 FJ' - 4 c CXL. - ---o4 - 0ry ®‘ PC-42..I rib - La 141)- rAzioa. `- (3-f-c l v \4 1 ve, 1t rA6TR.► of (it)o 6 PRibv►e. . gt.c.- fk 4-v7 wziklc Foci_ ALL a 0f' S IN (\iNks`p eraVO--runA ' (Utt41 r\• N (s 1, Is suk3, c ---- n PASS I I PARTIAL APPROVAL n CANCEL ( I NO ACCESS FAIL ] CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G- r`1 W Date: s 3 I (y) Phone #: (503) 718 - Z•t141 CITY OF TIGARD BUILDING DIVISION PERMIT #: ieST20061012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12}2006 Phone: (503) 639-4171 1m0Pii ' lt l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :03Am PAGE: 9 - SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: ` SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503 -590 -579: CONTRACTOR: OWNER C- - Ea. I -ein nO E PHONE #: Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: Cod ription Confirm # Contact # Message 120 Electrical rough -in j 038258-02 971 - 732 -0 N C orrections o s nstructions: C PIS v n il. iiQ • ALL. A a U C 3 N'k J a ()P-i3 61\) C- � t,v it 8 �: rt'Ass I I PARTIAL APPROVAL ( f CANCEL n NO ACCESS . ❑ FAIL ( I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED eAl__ Inspector: .7' ° '\i- 63L1 Date: 1 0/i v Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& 100442 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4f i2f7_0Q Phone: (503) 639 -4171 ° yP�NG"I� I \ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/912006 TIME: 7 :01AM PAGE: 9 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: c0Psf� � t t t) LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 503 590 - 6792- CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/912006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 037873 -02 971-732-0712 N Corrections /Comments /Instructions: 0 te7 Ai Pack.r i Pmt. 1. 'NM as% 'qv? c: PQaNz It o 21 N "aft-smi 1 Rsc e,d RAM' 6 G1 . 74.E 4 IzEca DZ N) ALL . ei\1 G4ch v 6 i Lizle v V61., t -rM }T coon So oN - c.---_ • isZb c.- "p- 4o 2' wWLL �� 6 '...A 6� t - -:()\/ NS - PKZ-VZ S - 1 I C.A6aa. I .0 Po,Ngl-,, ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ACALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: `7 Nrer If Date: 1 1 a Phone #: (503) 718- hI CITY OF TIGARD BUILDING DIVISION " PERMIT #: MST2006 -10142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 1411 0011 Inspection Requests (24 Hrs.): (503) 639 -4175 ?- . INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSFIED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503 - 590 -6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 049338 -01 971 - 732 -0972 N Corrections /Comments /Instructions: • • • PASS n PARTIAL APPROVAL 1 CANCEL NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector:, ! (/ Date; Phone #: (503) 718- 1 CITY OF TIGARD . s BUILDING DIVISION PERMIT #:a6 %- /bO £ 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 u p1 i Inspection Requests (24 Hrs.): (503) 639 -4175 r' Agtql :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / Lf 67 Lib r 17 4- J--e__ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspe n Request Scheduled For: Date: 6 '- (9- �,b (0 Pour Time: L r b Code " # I ecti pDescription Confirm # Contact # Message 3 2 6 3 a.D. 77(- 732 - o 71D--- ---er\A" T.,-vti e l Clbrrections /Comments /Instructions: • PASS Li PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � /1 �j Inspector: I !� GL Date: Phone #: (503) 718- --27/ CITY OFTIGARD ' . , BUILDING DIVISION PERMIT #: idiST2006 10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 /u- I IN� � �I Inspection Requests (24 Hrs.): (503) 639 -4175 '`:_.. INSPECTION WORKSHEET FOR DATE: 3/2/2J07 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA . PHONE #: 5Q3- 590.6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/212007 Pour Time: i Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 014260 -01 971- 732 -0712 N Corrections /Comments /Instructions: /3 Ar/YAI ...."- ' - , / Y PASS (l PARTIAL APPROVAL CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED I/ Inspector: V 1 1/. Date:. 5Y f Phone #: (503) 718 - . CITY OF TIGARD . . , ,, BUILDING DIVISION • PERMIT #: MST2006-10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 / m1ypi I Inspection Requests (24 Hrs.): (503) 639 - 4175±+x:_.. INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7.01AM PAGE: 6 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 040864 - 01 971 - 732 - 0712 N Corrections /Comments /Inst uctions: . .Lc- . t2 (/ 06 6 rS c o 2_ c� CO M P 0864 ■ n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c 0-r Date: . /z/8/ 0 G Phone #: (503) 718- _ Z64y _ _ . - . CITY OFTIGARD 1 BUILDING DIVISION PERMIT #: MST200610042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639- 4171N'd Inspection Requests (24 Hrs.): (503) 639 -4175 ��' 'I I.. INSPECTION WORKSHEET FOR DATE: 1217/2005 TIME: 7 :03AM PAGE: 18 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SING PHONE #: 503.590 -5792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 200 Insulation 040798 -01 971-732-0712 N Corrections /Comments /Instructions: ir‘i ,l'AZ-Sti it 4 fiz% ,4/4-7 •'` S 0 CA- - ,r" n PASS" ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS kyr AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ , 7".....i Date: /1-7--e Phone #: (503) 718- ".c CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& -10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 Pfh Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 21 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 603.590- 6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/14/2006 ' Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 039743-01 503 - 598.8093 1�1 Corrections/Comments/Instructions: LUrmie. r/Z )u2'T— ‘/n"- €. / ��>: ^t� r,c i1 it ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MA1J Date: Phone #: (503) 718 - a CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200610042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04A1 PAGE: 31 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master Eiuite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503- 590 -6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 039637 -01 971 - 732 -0712 1 Corrections /Comments/ Instructions: Al J Ac c .c _s5 — 'Jo r u c J��: ,.► • I I PASS I I PARTIAL APPROVAL ❑ CANCEL R(0 ACCESS YIFAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: //-11/ Date: / 1 /3 /o Phone #: (503) 718- -2 8 CITY OF TIGARD BUILDING DIVISION PERMIT #: ht1ST201Q010102 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4/12/1006 Phone: (503) 639 -4171 "/�l i " lil Inspection Requests (24 Hrs.): (503) 639 -4175 :..„.... = INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :03AM PAGE: 10 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503 -590 -6792 , CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 038268 -01 971-732-0712 N Corrections /Comments /Instructions: PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: //I — qr, Phone #: (503) 718- - Z44-SS CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2f 06 Phone: (503) 639 -4171 ' r q��ii�t��'1# Inspection Requests (24 Hrs.): (503) 639 -4175 . `__.. INSPECTION WORKSHEET FOR DATE: 10/16/3006 TIME: 7 : 03AM PAGE: 8 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503 - 590.6782 CONTRACTOR: OWNER 4. PHONE #: • • Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 038258 -03 971-732-0712 N • Corrections /Comments /Instructions: #/ 6 !o r O Si �v�Na2rs i 5 )5Z< --7-e ' y `R 7 i eZ• L. - Y16' I 7 ,-r- • i► • _ ! - - VI i i • C O ♦/G S '. ' , ' I -2 ( J Ifi 1?:' —7121 ,S‹ • s � PASS PARTIAL APPROVAL n CANCEL NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: /e, — /6- Phone #: (503) 718- '2 CITY OF TIGARD .. BUILDING DIVISION PERMIT #: M,422000066-10042 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4 Phone: (503) 639 -4171 ■ A � �gijl Inspection Requests (24 Hrs.): (503) 639 -4175 �.'!+r I . INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7 :01AM PAGE: 11 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: - Two story garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 037871 -01 971-732-0712 N Corrections /Comments /Instructions: ,-/-7045 i `v's ei..r is /-*,_ .�-`4., :fi, J -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL � CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: i Date: 49 �r — o Phone #: (503) 718 --Z CITY OF TIGARD . - • BUILDING DIVISION PERMIT #: MST200S -10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112/2006 Phone: (503) 639 -4171 Aya Ipj�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 14040 SW 117TH AVE_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. • OWNER: JAMSHED, SINA PHONE #: 503 - 580 -6782 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anthors ' 037873 -01 971- 732 -0712 N Co /Comments /Instructions: 3E6 a / •L, •--S'- •--_ sz7 re ..,,_, n PASS-- n PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: � . Date: / 9-v Phone #: (503) 718 - -f --r CITY OF.,TIGARD . BUILDING DIVISION PERMIT #: MST2006 lfaJ12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 . Phone: (503) 639 -4171 � o.,,4p,�ijll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 2 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two .stoat garage and master suite addition. OWNER: ,,IAMSHED, SINA PHONE #: 5O3- /A0-G792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 030866 -01 503•380.377BB N Corrections /Comments /Instructions: i , 0 Po 2714-2-- FR A-7 (< /Lrg-!L_ r'U C� 4 T77 5 P � ? c- 'R,•57 1+. . Cs J A. - S i - 0 , 4Z S r7 �L cam_ i N[0-1% • _ r.'lZ #21 e' � Mire co\e/ oe------- ...._ PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C-44 Date: ../ - v C' Phone #: (503) 718- Z-6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639-4171 Abl\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6131/2006 TIME: 7:07AM PAGE: SITE ADDRESS: 1040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and mastor suite addition. OWNER: JAMSHED, SINA PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 030B65-02 503•380-3778 Corrections /Comments/ Instructions: c /407 c_40 77 -- 70SPei - z,7 -- 3::o IL) , L-5 -r i - i= o pc_y o -- 7741e-erwi-t _ ,za - O t-F-Ac___ A-31%. PH T Ajet ev./ o'r Sr X1.0?4-e___e e <i) T7475 - T7 f 4 er -- 0 PASS I I PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: C_J-OF> Date: ‘' a 6 Phone #: (503) 718- CITY OF„TIGARD ., • BUILDING DIVISION PERMIT #: MST :2006- 10M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411212006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 511 f3/2006 TIME: 7:04AM PAGE: SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 603 - 690.6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/i&2O0 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 029883.02 503-380.3778 N Corrections /Comments /Instructions: kkga • • apP40.- • PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I FAIL d FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 410 Date: S 0 ( Phone #: (503) 718- 2 L } 3 CITY OF,TI.GARD 1 r BUILDING DIVISION PERMIT #: MST2006-10012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41120006 Phone: (503) 639 -4171 �° � ' ' Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' ''� I INSPECTION WORKSHEET FOR DATE: 6/15/2006 TIME: 7:04AM PAGE: 20 SITE ADDRESS: 14040 SVV 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 603- 530.6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear waliafanchors 029883-01 603-380 -3778 N Corrections /Comments /Instructions: 1-1 53 O ( hot() 30w34 ctS , O Q , p /afl$ , - (ZU tST -- 2` ....._.... , j '7,1mraimawymi_ iwis , . , _______-„, V I ril MST IF IP . , ,...t —. , I PASS • n PARTIAL APPROVAL El CANCEL ❑ NO ACCESS AI CALL FOR IN • ECTION ADDITIONAL FEES ASSESSED Inspector: , ' Date: S h d Phone #: (503) 718- K, L I .._3 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST:2006-10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112n006 Phone: (503) 639-4171 :341 t Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 502005 TIME: 7:07Alvl PAGE: 40 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two stoiy garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 503-690-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5180006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 029459-02 503-380-37M Corrections/Comments/Instructions: (E. V1 := 4. 0 4 AePS 4 .i r . • c'-J O h./ El PASS El PARTIAL APPROVAL I I CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: (i F Date: - 0 6 7 Phone #: (503) 718- 06i/4. CITY OFTIGARD ' BUILDING DIVISION PERMIT #: MST2008 -10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/812008 TIME: 1:07AMUi PAGE: 41 SITE ADDRESS: 140411 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMS HED DESCRIPTION: Two .story garage and master suite addition. OWNER: JAMSHED, S1NA PHONE #: 503-590-8792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 518/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls /anchors 029459-01 503 -3180 3778 1` Corrections /Comments /Instructions: ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS jj FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gi�l/ Date: S *06 Phone #: (503) 718- Z61/1-/ (;4, , R _bo CITY OF T ARD 9" 0 BUILDING DIVISION PERMIT #: MST700 6.10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639- 4171no 8" Inspection Requests (24 Hrs.): (503) 639 -4175 . °�.. INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 78 SITE ADDRESS: 141140 SW 117TH AVE_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED • DESCRIPTION: Two story garage and master suite addition. OWNER: JAMSHED, SINA PHONE #: 503- 590. 6782 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/14/2006 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 028021 -02 603. 380.3778 N Corrections/Comments/Instructions: -3:5Z.� ea-- -a-b- _A t CZ"-, a.� � A„ e,'r c� �� ..l.e.ri /9- .A.r0 1 f Il'1 PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector91M Date: ( �� Phone #: (503) 718 - CITY ��N�� wm,P OF m�n�m��nm�� ' ., BUILDING DIVISION '- ~~~°"~~~°""~~° ~~"° "~°,~~,° PERMIT #: K8Sl2005.10012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411212805 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 839'4175 .,_,W INSPECTION WORKSHEET FOR DATE: 4113/2006 TIME: 7:00Ah; PAGE: 19 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAIViSHED DESCRIPTION: Two story garage and master suite addition. OWNER: JAMSHED, SINA . PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 208 F00tiog 027978-01 6O3-380'3778 Y Corrections/Comments/Instructions: R �� ' --- -^r � (5:g) / I I APPROVAL n CANCEL fl NO ACCESS L Il CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: A Date: 4L-`y Phone #: (503) 718- ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.10042 13125 S1/ Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112/2006 Phone: (503) 639-4171 Am J rti ii Inspectiof,1 Recivests (24 Hrs.): (503) 639-4175 ,..........„.. e ---... INSPECTION WORKSHEET FOR DATE: 6127/2008 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 1404t) SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10111106: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/2712008 Pour Time: Code # Inspection Description Confirm # Contact # Message 293 Final inspection 071956.01 925-878-5723 N • Corrections/Comments/Instructions: 10 • v.7 2 ""71,1/40)21 ( Gt.i-7,t7Ats 4 -- ' ' 4 (.. j'i .... _Ivo GU A' L.. / _Ilasaikral . L, _ _ 1 FIZ PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 0 FAIL ri ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: .- Date: ,4- — 22 Phone #: (503) 718- CITY OF TIGARD I 7--- � BUILDING DIVISION PERMIT #: v?nOb 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /2100, Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: �, SITE ADDRESS: l / P 1 / ° /t f CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: � -/g - �� OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message / ' T e l V C ctions /Comments /Instructions: ❑ PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION A n ADDITIONAL FEES ASSESSED ----/ Inspector: Date: ---2 ---2 Phone #: (503) 718 - 72-x-7 . . . CITY OFTI9A13D • I„ if ....,, BUILDING DIVISION . PERMIT #: MST2006-10042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639-4171 ,..„ kaL t rolll Inspection Requests (24 Hrs.): (503) 639-4175 . LL INSPECTION WORKSHEET FOR DATE: 6/26/2008 TIME: 7:00AM PAGE: • 2 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBblVISION: LOT #: TYPE OF USE: PROJECT NAME: JAMSHED DESCRIPTION: Two story garage and master suite addition. 10/11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAMSHED, SINA PHONE #: 503-590-6792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 071891-02 925-870-5723 N Corrections/Comments/Instructions: So ir- e( _ ,..../ ir' K 0 --- l I )J Wo. P i kno--to i il Ar va u -ct 57 3 ) i 2.0-7 iiptizs- 54 PASS I I PARTIAL APPROVAL 0 CANCEL n NO ACCESS n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (70 kl ;-/ WI\ . Date: 6, I 2,(0 O Phone #: (503) 718- \ CITY �� ^ — ' ^ � ��wn m ��n .�n .` . BUILDU�� DIVISION � PERMIT #: k4ST20[6-10{42 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112/2006 Phone: (503) 639-4171 Inspection Requests (24Hmj:(5O3)G3O'4175 a��W- INSPECTION WORKSHEET FOR DATE: 11/912007 TIME: 7:00Ak4 PAGE: 23 SITE ADDRESS: 14040 SW 117TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JANISHED DESCRIPTION: Tvxw mtnpy gaaAw and master suite addition. 10K11/06: Added (1) 200 amp service, (6) branch circuits. OWNER: JAIV10HED.SINA PHONE #: 503.590-0792 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1119/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 059102.`82 025-878-6723 N Corrections/Comments/Instructions: � �'� I r e 1 / / / [ �' ` '�� ^^ 4 ' �@ I ^y 4� ' A - - / ^ �/' � � ~- ' . 111 PASS 0 PARTIAL APPROVAL pi CANCEL | | NO ACCESS K FAIL CALL FOR INSPECTION 17 ADDITIONAL FEES ASSES 'ED N Vq/O �=�°�^ �� |nopectInspector: ‘ Cik.■ Oate: ~� ^� Phone #: (503) 718' u�' *�~l[ / _. • _ ,_