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Permit 4 lc? 1 0 �1 tJST , �T��J CITY OF TIGARD MASTER PERMIT 11 1- " COMMUNITY DEVELOPMENT Permit #: MST2006 -10069 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/02/2006 Parcel: 2S103CB03500 Jurisdiction: TIG Site address: 13155 SW 124TH AVE Subdivision: Lot: Project: KENT Project Description: Interior remodel & garage addition. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: First: sf Basement sf Left: 5 Parking Spaces: 2 Height: 18 Bathrooms: Second: sf Garage: 1400 sf Front: 20 Smoke Dwelling Units: Third: of Right 5 Detectors. Yes Total: sf Value: $100,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 100 Catch Basins: Lavatories: 5 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Other Fixtures: Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 1 Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 NAT Heat Pump: N Hoods: 1 Other Units: 2 Fum <100K: 1 Vents: 1 Woodstoves: Gas Outlets: 5 Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 -200 amp: W/ Svc or Fdr: Ea add! 500 sf: 7 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add! Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) ROBERT R KENT 13155 SW 124TH AVE TIGARD, OR 97224 PHONE: 503- 968 -5895 PHONE: FAX: Total Fees: $2,498.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: • Case Activity Listing 9/17/2009 9:51:18AM Assigned Case #: MST2006 -10069 Assigned- Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MST1010 Application received 3/30/2006 None RECD DER 4/5/2006 DER MST1020 Permit created 3/30/2006 None DONE DER 4/5/2006 DER MST2240 Exterior sheathing 10/5/2006 10/6/2006 10/6/2006 None FAIL KBS 10/6/2006 037828 -01 — 503- 849 -2048 VM - STI N —150 MST2240 Exterior sheathing 11/12/2006 11/13/2006 11/13/2006 None PASS MAV 11/13/2006 039632 -01 -- 503- 849 -2048 VM - STI N MST2235 Shear walls /anchors 11/12/2006 11/13/2006 11/13/2006 None PASS MAV 11/13/2006 039632 -02 503 -849 -2048 VM - STI N MST1530 Permit expired by 1/23/2008 None DONE RB 1/23/2008 limitation RB MST1065 Begin plan review 4/14/2006 None DONE MAV 4/14/2006 MAV MST1070 Revisions /Info 4/14/2006 None DONE MAV 4/14/2006 See plan review letter in file. requested MAV MST1080 Revisions /Info routed 4/20/2006 None DONE BB 4/20/2006 3 sets revised plans to PE BLD MSTI 100 Building plans 5/1/2006 None APRV MAV 5/1/2006 approved by PE MAV MSTI 110 Approved plans 5/1/2006 None DONE MAV 5/1/2006 routed to PT MAV Page 1 of 3 CaseActivity..rpt 9/17/2009 • ��EL/� Case Activity Listing 9:51:18AM Case #: MST2006 -10069 Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MST1840 Bolts in concrete None 5/1/2006 MAV MST1900 Engineered soils None 5/1/2006 MAV MST1910 Special inspection None 5/1/2006 (see plans) MAV MST1240 Post- review 5/1/2006 None DONE DER 5/1/2006 completed DER MST1270 Ready to issue permit 5/1/2006 None REDY DER 5/1/2006 DER MST1280 Issue permit 5/2/2006 None DONE BB 4/12/2007 BLD MST2305 Plumbing underslab 5/31/2006 6/1/2006 6/1/2006 None PART MRS 6/1/2006 030936 -01 — 503- 849 -2048 — VM - STI Y -180 MST2305 Plumbing underslab 6/1/2006 6/2/2006 6/2/2006 None PASS RB 6/2/2006 031024 -01 — 503 -849 -2048 — VM - I STI N MST2220 Slab 6/11/2006 6/12/2006 6/12/2006 None CANC RB 6/12/2006 031570 -01 — 503- 849 -2048 — VM - STI Y —150 MST2295 Misc. inspection 6/11/2006 6/12/2006 6/12/2006 None CANC RB 6/12/2006 031570 -02 — 503 - 849 -2048 — VM - STI N —150 MST2205 Footing 6/23/2006 None FAIL KBS 6/23/2006 KBS Page 2 of 3 caseActivity..rpt , Case Activity Listing 9/17/2009 kCCEL Case #: MST2006 -10069 9:51:18AM Assigned, Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MST2210 Foundation walls 6/23/2006 None FAIL KBS 6/23/2006 KBS MST2205 Footing 6/26/2006 None PASS KBS 6/28/2006 KBS MST2210 Foundation walls 6/26/2006 None PASS KBS 6/28/2006 KBS MST2215 Footing drain 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -01 — 503- 849 -2048 — VM - RB N MST2255 Wtr proofing 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -02 - 503 - 849 -2048 — VM - basement walls RB N MST2335 Rain drain 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -03 — 503- 849 -2048 — VM - RB N MST2115 Electrical service 8/3/2006 8/4/2006 8/4/2006 None FAIL HAP 8/4/2006 034409 -01 -- 503- 849 -2048 -- VM - STI N —180 MST2115 Electrical service 8/4/2006 8/7/2006 8/7/2006 None PASS HAP 8/7/2006 034480 -01 — 503 - 849 -2048 — VM - STI N Page 3 of 3 CaseActivity..rpt CITY T I^ w^ D MASTER PERMIT V H K PERMIT #: MST2006 -10069 l � � DEVELOPMENT SERVICES DATE ISSUED: 5/2/2006 411 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103CB -03500 SITE ADDRESS: 13155 SW 124TH AVE ZONING: R -4.5 SUBDIVISION: WILLAMETTE NO.2 LOT: 014 JURISDICTION: TIG Project Description: Interior remodel & garage addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 15 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: V TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 1,400 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 514 DWEWNG UNITS: THIRD: sf RIGHT: 4 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 if VALUE. 100,000.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < BHP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN >100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADM_ 500SF: 7 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR: CO UMITED ENERGY: 4 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601 *amps•1000v: MINOR LABEL: 1000* amp/volt : O PLAN REVIEW SECTION O Reconnect only: v.4 RES UNITS: SVC /FDRa.225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY I A. SF RESIDENTIAL B. COMMERCIAL I AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: N BURGLAR ALARM: 0TH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: O GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: e This permit is subject to the regulations contained in the Tigard 43 Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other OWNER applicable laws. All work will be done in accordance with approved 0)10 plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. 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: Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 2,426.45 REQUIRED ITEMS AND REPORTS Bolts in concrete Engineered soils Special inspection (see plans) Issued By : jS 414 %�, J Permittee Signature 12 ee — — i7J Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Inspections Required for: MS .h006-10069 • Cod In spection Description PASS D ate By MST - Master Permit 405 Excavation 410 Fill 415 Grading (0/006 .7i�r . /tif211);(?)211141‘/‘)5e--Q4/f 4 X 205 Footing 4ol. • 805 MFG - Structure grading/footing V 5 X 210 Foundation walls X 215 Footing drain 6 , !� j 305 Plumbing underslab r]O 105 Underground/slab cover 220 _ Slab _ 14 (j �/� X 310 Crawl drain { J n r 315 Post/beam plumbing (Q/a'/O(, (j7 -- 5w v 4U; 410- 605 Post/beam mechanical 225 Post/beam structural 230 Underfloor insulation _ X 235 Shear walls/anchors X 240 Exterior sheathing 242 Interior shear walls 245 Firewall 250 Roof nailing X 255 Wtr proofing basement walls 7/'s /b 6 j14 265 Masonry 270 Reinforcing steel (rebar) X 320 _ Plumbing rough -in 322 Shower pan X 610 Gas line X 615 Mechanical rough -in 110 Temporary electrical service X 115 Electrical service WilW `r'' X 120 Electrical rough -in X 135 Low voltage 910 Sprinkler rough -in X 275 Framing /0— 810 MFG - Structure set -up 12 3 X 280 Insulation / X 330 Water service a X 335 Rain drain ( / 340 Storm drain / 505 Sanitary sewer 350 Septic tank 285 Drywall nailing _ X 289 Approach/sidewalk it/ / /if ,4 e 4,e /ST _ v+"c 295 Misc. inspection: 899 _ MFG- Structure final X 498 Grading final X 699 Mechanical final X 399 Plumbing final X 199 Electrical final X 299 Final inspection ea 6 1)7 I:\Building \Inspection Cards\Forms \MST- InspCard- Blank.doc 12/09/2005 ' ,' 4 I^ � O MASTER PERMIT CITY OF TIGARD PERMIT #: MST2006 -10069 DEVELOPMENT SERVICES DATE ISSUED: 5/2/2006 °�I I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 J PARCEL: 2S103CB - 03500 SITE ADDRESS: 13155 SW 124TH AVE V ZONING: R -4.5 SUBDIVISION: WILLAMETTE NO.2 LOT: 014 JURISDICTION: TIG Project Description: Interior remodel & garage addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 18 FIRST: at BASEMENT: sl LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: st GARAGE: 1,400 sl FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: st RIGHT: 4 0 St VALUE: 100,000.00 REAR: 15 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 4 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps.1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC 0CC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL B SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other OWNER applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. 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: Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 2,426.45 REQUIRED ITEMS AND REPORTS Bolts in concrete Engineered soils Special inspection (see plans) Issued By : J, pf, i4. AV/i..1 Permittee Signature 1 /Go �c Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildin . Permit A t M E IV ED i • FOR OFFICE USE ONLY 1 R eceiv ed City of Tigard n / — Permit No. 1 13125 SW Hall Blvd., Tigard, OR 97223M-- ^ r 00 �� B view � � ; � 0 � Phone: 503.639.4171 Fax: 503.598.1960 No, , - " -W.1 `• , r v 5 . A - / — o G Other Permit: Inspection Line: 503.639.4175 CIT *FT ARD .4,9 'l � . V a d y /B y; mri See Attached Checklist for w Internet: ww.tigard or.gov BUI DING DIVI •N - Notif;ed/Method:� - ti � - r I ID Supplemental Information MAR 3 0 2006 s o\<-e- 01 V 1.<-2,..>r TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING El New Demolit ion New construction CITY OF TIGAIID llrDING DIVISION Permit fees' are based on the value of the work performed. 11 Indicate the value (rounded to the nearest dollar) of all JP4Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. or I- and 2-family dwelling Valuation: S 1 /00 j 000 r'. � . y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: / JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /3 SS Sl.J / ? y A . e.... New dwelling area: '3 Z OO square feet City /State /ZIP: 77 4 , r x oe 9 7 Z? r Garage /carport area: * q b Q square feet Suite/bldg. /apt. no.: I name: -- Covered porch area: 4 O O square feet Cross street/directions to job site: fie/ Lb: „e 7- / ., e C '4; Deck area: square feet Z Other structure area: ge G square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: i -) -/, _ e _ if( 17/44- Z I Lot no.: / I/ Permit fees* are based on the value of the work performed. D Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: S / . 7c e O 3S C equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. � L \ a •74 Valuation: $ .Y ^ /�" / gG E-4-% u l�� i-h Existing building area: square feet 9 c ....... a yr Ct .lGr 74 '0 I -. New building area: square feet ,�/ 4 PROPERTY OWNER I ❑ TENANT Number of stories: Name: tps , 4._ r _ T . Type of construction: Address: f ?/ C ) / Z V '' /4a, Occupancy groups: City /State/ZIP: r ►4 /2_ Otf q 7 2' z 3 Existing: / Phone: (spy) ' 4 8 _ S -) 991- Fax: ( ) New: ❑ APPLICANT ( ❑ CONTACT PERSON NOTICE "sue ` name: All contractors and subcontractors are required to be Contact ti.. --1111 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: milk Phone:( ) ■ F. . ) E -mail: . • ' RACTO' Business name: n BUILDING PERMIT FEES* Address: 1 Please refer to fee schedule. City / State/ZIP: Fccs due upon application Phone:(' ) Fax:( ) ....\.) I C : c.. Amount received 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 Po ‘c... 4- k. - I Date: 7// yo 4 I • Fec methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP- TI- PamitApp.doc 12/30/05 440 -4613T(II /02/COM/WEB) Pi; Building Division � ,, 1. t ,, Pl an S ubmittal Requirement Matrix � „� � 01.L. Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 • (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New” fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1.\ Building \ Perm iu\BUP- 71- PamitApp.d« 12/30/05 440-46131111/02/COM/WEB) Building Fixtures i. Plumbing Permit Annlic h ' ENE 1 1 1 Flir OFFICE USE ONLY City of Tigard Date/By. Permit No ` ,p 13125 SW Hall Blvd., Tigard, OR 97223 3°I i 2 ' ( s N - AAR 0 2006 � a � � f v Phone: 503.639.4171 Fax: 503.598.1960 . r a , f� l R. Date/By. Other Permit No.: 24- Hour Inspection ! ine: 503.639.4175 _ .I= l i ( Date '' ' .OF TIGARD Jun ® Page See Pa 2 for Internet: www.ci.tigard.or.us CITY OF TI ° - - N Supplemental ge lntormatiom TYPE OFV NG DNIOION 1', � � G DIVISION FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total i p4 ddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 1E1 and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 99- ❑ Master builder Each additional bath/lteth / 45.00 (/S 0 o ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / 3/,5 S (..,,.) /'e'ei 6. A0 e _ Catch basin or area drain 16.60 City /State/ZIP: 74s a; ^ t o e 9 • Z L 3 Drywell, leach line, or trench drain 16.60 / Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: Project name: Manufactured home utilities 110.00 Cross street /directions to job site: / z f It. y i d 7oA.7 s; 24 a Manholes 16.60 / 2 r y� Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: p // y #,__ P/ Z I Lot no.: f Water service (no. linear ft.: ) I Page 2 Fixture or item Tax map /parcel no.: 2 .S /d Jc zg.G gfp0 Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 n \a r t =4 a cl / ....."71-4 Backwater valve 16.60 of‘ v of 4 ' , Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 J f__ Ejectors/sump 16.60 Name: a C . 141,..., F--- Expansion tank 16.60 Address: / 3/ S 5'/i ,, 2Y 11 Avt Fixture /sewer cap 16.60 City /State/ZIP: '-'1.5 tG _ce_ e 9 7 2 z V Floor drain/floor sink/hub 16.60 Phone: (CO?) G' ,68 ._ S i 3 9 3-- Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 `name: Interceptor /grease trap 16.60 . Con . ..se: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 - Phone: ( ) �� : ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: ' Urinal 16.60 CONTRA ' • R Water closet 16.60 Business name: ` , Water heater 16.60 Address: ��-,� -� Other: _ city /S f, ,y( I Subtotal 4/fly, Minimum permit fee: $72.50 P�t • . ( Fax: ( ) � Residential back flow minimum permit fee: $36.25 Plumbing Lic. no.: Plan review (25% of permit fee) N % State surcharge (8% of permit fee) 3J:. j Z- A. rued signature: / c, _ -- -e". TOTAL PERMIT FEE 6/794 - Z Print name: /eo 6cc- /-- / e.�, t- Date: 7 / 9/0 6 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\Building\Pemiits PLMF- PemiitApp.doc 06/05 440- 4616T(I0/O2/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1 a 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: 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 Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes", A `complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi /Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwashcr - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i : \Building\Pennits PLM- PcnnitApp.doc 07/06/05 Mechanical Permit Application rOK OFFICE liti ONI.V r City of Tigard `( \ / % ^ R fives Permit N. ) 13125 SW Hall Blv�] � ,EC, �' Date/By. 31-2A 6 9 1 3.598 Phone: 503.639.41 1960 i s Date/By. Na Review Other Permit: � . Inspection Line: 503.639.4175 11 !• ►. 7' J j4l,. ° ,� 1 Date Ready/By. turis: Internet: www.ci.tigard.o R o r . N o tifi ed/Method Supplemental See Page 2 for `' . 1 �, Supplemental Information ij1TY p - 1 - 1( .."6 , ITY O F TinARn �(= T YPE - OF. (-, DIVI SION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New constructio �` 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ®.l and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ Multi - family 0 Master builder For special information use checklist. ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling //Arc' Si l L �S Air conditioning or heat pump Job site address: 4 ve . (requires site plan showing placement) I 14.00 City / State/ZIP: / ` G - 0 ve py ? ?e 3 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: ("1 / £~ i to TCo.G C. S ,p Duct work IF 14.00 / 2 y 5,(-4 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 Flue/vent for any of above / 10.00 Subdivision: Cie s(C e''`.<- 79L ph, Z Lot no.: / s' Other: 10.00 _ Tax map /parcel no.: 2 S (O 34- Q 83 SV 0 Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 J L- a Gas fireplace 10.00 —/ , le..— i.� rL 90 G� e / it) r 74 Z Flue vent for water heater or gas /J� ,. J ', fireplace 10.00 J Los lighter (Ras) Z 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 c ,92claitOPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00 � Other: 10.00 Name: %! Le,,.. (- t t . / Environmental exhaust and ventilation Range hood /other kitchen Address: ",c-s— S a) / ? / s/ /di(/e equipment j 10.00 City/State/ZIP: / dryer exhaust / 10.00 { � _ae v� 9 7 z 966 —51)1 g t ingtc mp cxhaust (bathrooms, Phone: rooms) (, s) Fax: ( ) toilet compartments, utility rooms) S 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 ass name: Other: 10.00 Fuel piping Con c'e: $5.40 for first four; $1.00 for each a dditional . Address: %"._ Furnace, etc. Gas heat pump City /State/ZIP: Wall/suspended/unit heater Phone: ( ) \ \ :_ • A/) Water heater Fireplace 2. E -mail: Range ' ( OR Barbecue Z Business name: / Clothes ` Clothes dryer (gas) Address: • other Res idc 4 fir. l bo +le r / - /PAW— MECHANICAL PERMIT FEES' City/State/p Subtotal / 7 ), to Minimum permit fee ($72.50) Phone :. ) Fax: ( ) * Plan review (25% of permit fee) C • lc.: State surcharge (8% of permit fee) /0 a 4 /! TOTAL PERMIT FEE / [/B. 07 Authorized signature: y - • T his permit application expires if a permit is not obtained within ISO f� /// days after it has been accepted as complete. Print name: A -.. -*L" x-e 1*-- I Date: J� 9 / 6 A • Fee methodology set by Tri- County Building Industry Service Board i:Suilding\Pennits \NEC- PermitApp.doc 17103 440.46171 (1I/02/COM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 B -, Electrical Permit AIL ' : ' � gu, r_ ,r roll ()Frio.: usl. O\1.V • _.,. L • City of Tigard �E l -! E � . EN Received Permit No. - 6v' _ a , 13125 SW Hall Blvd., T igard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 5914.81849 it / MA a_ 2 . "".''2Y,,,--;,:' Date/B . Other Permit: t Inspection Line: 503.639.417 V r =_% L_1/ ''! Date Ready/By: /ins: 21 See Page 2 for Internet: www.ci.tigard.or.us FTlGAs Notified/Method: Supplemental Information C1l •l ® tor TIGARD - ,,u1L‘ 0 ' C6 nivtsiON PLAN REVIEW ❑ New construction Addition/alteration /replacement Please check all that apply: ❑ Demolition 0 Other: ❑Service over 225 amps, come' ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential R1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories 0 Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job site address: t‘ Health -care facility ❑Ocher: Job no.: I /3�`r s- S V / e Ave ve . Submit 2 sets of plans with any of the above. ee City /State/ZIP: '71 5 _ Q G 7 3 The above are not applicable to temporary construction service. 4. Suite/bldg. /apt. no.: I Project name: FEE* SCHEDULE Description I Qty. I Fee. I • Total I .. Cross street/directions to job site: / Zf £t- y l , 'I`G,,,C S 71 0 New residential single- or multi- family dwelling unit. l Includes attached garage. /Z 4 z`� 1,000 sq. ft. or less / 145.15 /j5.AS 4 Subdivision: (,'� -a ks„ f e. pi -I- Z I Lot no.: 1 V. Ea. add'I 500 sq. ft. or portion 2. 33.40 6(0.0 1 Tax map /parcel no.: 'Z S /0 C. p 0 �S by Limited energy, residential / 75.00 7S 2 ry Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular L t^ + _ , dwelling, service and/or feeder 90.90 2 ' ' V S £.Y"^ cud C� ° - .5 Services or feeders installation, alteration, and/or relocation 4 ee et , T• a , / / 200 amps or less 80.30 .IKPROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 + � 7 1 401 amps to 600 amps 160.60 2 (,L Name: 47 R" ,., 601 amps to 1,000 amps 240.60 2 Address: w / Over 1,000 amps or volts 454.65 2 �� r� S_V' / Z � � tll Reconnect only _ _ 66.85 2 City /State/ZIP: ` / , � c, . Q Q q 7 2 Z 3 Temporary services or feeders installation, alteration, and/or Phone: (S .') 96 9 -' 69,s- I Fax: ( ) relocation 200 amps or less 66.85 I 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, leasr exchange, a to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 - 2 Owner signature: I / � , - y " -A Date: 7 q 0 (7 Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT P ON , A. Fee for branch circuits with service or feeder fee, each 6.65 2 :� siness name: I branch circuit B. Fee for branch circuits to in . e: without service or feeder fee, first branch circuit 46.85 2 Addres•E>► Each add'I branch circuit 6.65 2 City /State/Z , Miscellaneous (service or feeder not Included) Phone: ( � I I Fax: ( ' Pump or irrigation circle 53.40 2 ,, Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - CONTRACTOR I energy panel, alteration, or extension. Describe: Page 2 2 Business name: / /2........ Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City / State/ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) . ( ) Industrial plant per hour - 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: / lectrical Lic.: 416, iiiiorv. Lic.: Subtotal Z g ( 0 9 s Suprv. Electrici • _ . tgnature, required: Plan review (25% of permit fee) • Print n. - Da a State surcharge (8% of permit fee) Z Z .� 9!0 /,. - � TOTAL PERMIT FEE 3 j Z .9/ Au � d signature: s k -- - This permit application expires if a permit is not obtained within 180 a. /�� / _ days after it has been accepted as complete 'riot name: ,moo Lc JCL...+ Date: 7 / / 6 • Fee methodology set by Tri- County Building Industry Service Board / Number of inspections per permit allowed i:\ Building \Permits\ELC- PermitApp.doc 12J03 40- 4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information . LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: t gr Audio and Stereo Systems* Burglar Alarm i Garage Door Opener* Heating, Ventilation and Air Conditioning • System* Id Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 260 - 260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. 'Licenses are required for all other installations i:\ Building \Pcrmib\ELC- PmnitApp.doc 04/03 ■ Permit #: H za g /--4;1' /ad O 9 , Address: 155 c5t.t.) I 9‘ ✓�"`� Issued by: B Date: /19� 1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to .sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A•or 3B: v r4 1. I own, reside in, or will reside in the completed structure. v 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 1 ;1- 44-: 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 Property Owners about Construction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit . file, pink copy to applicant) • ".. _ ..JVv., L.n e% l: Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction uction Contractors Board in accordance with ORS 701.055(5). If you are acting as your ow n contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. Lam,.._. .'' \l ...,. '1'_,Cr 'V'\.'� -; J. _. ,. . ., �_.i• 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 will, in most instances, he ruled to be an employer and the people you hire w il1 he employees. As the employer, you must comply with the following: Or egc :2`s, vvur6^.o:d ng u2Jx law As an employer, you must withhold income taxes from om employee wages at the time employees are paid. You ‘e ill be liable for the tax payments even if you don't actually withhold the tax' from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Jnen %eoyinaent .asa..]:-2. se tea: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information. call the Oregon Employment Department at 378 -3524. c - cc: As an employer, you are subject to the Oregon Workers' Compensation !,any, and mint obtain IAorkers' compensation insurance for your employees. Ifyou fail to obtain workers' compensation insurance, you m�.y be subject to pen ?ltiesand will be liable for all claim costs ifoneofyouremployees is injured on the job. For more information. call the Workers' Compensation Division at the Department of Consumer and Business Sen. ice, at 945-7888. rye Sent e: As an employer. you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if■ou didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1- 800 - 829 -1340. 07HER RESPOu >a n >M'ES AND EaRF AS OF= CONCERN: N: Co%esoJ_:�; vase: As the perm it holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. LECDEEty and p~: 3sr ty enmage in nose: Contact your insurance agent to see i fyou 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. i Tae �o sulenose eartp ogees: Make sure you have sufficient time to supervise your employees. Jupeatise: Make sure you have the expertise to act as 'our own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own.pm4 1 .94 CleanWater Services Li...,. 006 May 31, 2005 � 2 ' 1 . 0 0 IN S pN 6V��' RECEIVED Robert Kent LIAR 3 0 2006 PO Box 230058 Tigard, OR 97281 CITY OF TIGARD BUILDING DIVISION RE: Addition to single family residence located at 13155 SW 124 Ave., Tigard, OR CWS file 05- 001683 (Tax map 2S103CB, Tax lot 03500) Clean Water Services has received you Sensitive Area Certification for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of yourproject (See attached site plan). Staff concurs that the above referenced project willnot significantly impact the existing Sensitive Areas found near the site. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 04-9, Section 3.02.1. All required permits and approvals mutt be obtained and completed under applicable local, state, and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. • If you have any questions, please feel free to call me at 503 -681 -3605. • Sincerely, Chuck Buckallew Environmental Plan Review Site plan attached E: \Development Svcs \SP 00- 7\Concurrence Letters\2S 103CB03500 - no impact to water quality 04 -9.doc 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org , I ' i X • Z . L v I CJ � ' -.�? • /►� JAI .s -"p.m > '1(1 r; 77rLr 1 ro°ssi . • Approved Clean Water Services E R LA a l rN 0 . V y* A ; 0 . N -1 ` ^ kl J is 4 . , NJ '------- - __A -V /\ Pti: and aaA/ s I° . a,S -v -' // O'o'/ :.'A' • • • mp o �p'\ • • CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number Lot No. Subdi\ ision • • MIZZEZENIZTEE • \cl�lress C;onr;icr N;ime • O6&2'7 )( fr Business Street � n 1AA Cily f t I State I ec I Zi p I 7.a�23 . As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. The application is complete. . M. he application is incomplete for the following reason: F r_2'NC, — • I The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. The submitted plans cannot be reviewed until the above information has been submitted and /or approved. • [fhe plans are deemed "simple ". I The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. • Name of Plans Reviewer . Date . • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 • . • RECEIVED MAR 3 C 2006 SIGNED ON: CITY OF TIGARD • gSTERED : UILDING DIVISION PROFESSIONAL • LAND SURVEYOR • OREGON . JULY 16 1987 / / <v � ��, 7y / A/c CewAo¢csseg WADE G. DONOVAN III . FD g /8yR /��= 4 M =�= `� 1 VALID THROUGH DECEMBER 31, 2005 N 89'50'00" E 227.66' FD 5f8 f 1 a ill =vAwa • • \ �� y� S£T" AT r0:' i 0 i �... > ` > > > \ Q ; Q` 2 • C �I O O 1 j • .0c �' °.r 3 a 2 y C G • I a C Q o ^S / i 2 j Q ¢ ¢ Q ¢ • • (V • I C i / 000 " / `� " w 4' � • Q �, �4L. , ' iy G N rt ; � 1 z i $CGTSC y "Q ?.6 h 4 SP v rZ ❑ TA.VK (,,' s�. 49/ Z a C • • 1 � � o o� ! Q Lit a� �I v , V 'D ° W ` ; a /' / 4' i w �G rig v ' o 2 • 2 O L L s m f a ' " a a 0.. . I e - S.W. JAMES STREET o Q �' �►{, w Q s r C7 z z z ¢ a. 145.5' J2 ti v , �. E.LI ` /' FD 9/8'IR rn C . Q • . ..,_ ‘,..:. . , , ,. . . , I ed '\ w\ / r v z cn a� v (..1-1 (..1-1 o , , .. . . ., ,, • . . • .. ‘•• I ,. . . : . i „ `1V >'") zZ �� _ ..... . • . . . .. . , • . . • \ . , . ,. . .. ,• . FD 5/81R S 89 '50'00 W ` c' /E vRTs..v /oa a�i � Z <,...:: = 185.84'. maa > mr�in:m / c � -° �� = �8 NOTE THIS IS NOT A BOUNDARY SURVEY. BOUNDARY • SHOWN PER INFORMATION OF RECORD: I HEREBY DECLARE • THE REAL IMPROVEMENTS TO THE SHOWN PROPERTY TO BE SITUATED THEREON AS SHOWN, THERE ARE NO APPARENT G 0 T l . S$ A C R v EXCEPT AS M NOTED HEREON. THIS LOCATION IS BASED UPON .S'''24.7-4 pSi` ✓G G ok1 E 4. 04 C C C/ r MONUMENTS FOUND. IN PLACE, THAT APPEAR TO BE $ Q PROPERTY CORNERS, THIS DECLARATION IS MADE AT THE REQUEST, AND FOR THE EXCLUSIVE USE OF OUR CLIENT, AND IS NOT TO BE USED FOR FUTURE IMPROVEMENTS, LAND 7 S S C? r= % DIVISION, OR BOUNDARY LOCATION. PROPERTY SUB.ECT TO EASEMENTS OF RECORD. • • ZO r c �ie GC-- y MONUMENT SEARCH LOT 14 WILLAME TTE PLAT 2 \-C 1 SEC110N 3, T.2S., R.1 W., W.M. 111 WASHINGTON COUNTY, OREGON • MARCH 18, 2005 Centerline Concepts Inc. DRAWN BY: MSG CHECKED BY: WGDIII SCALE 1"=30' ACCOUNT # -5059 640 82ND DRIVE GLADSTONE, OREGON 97027 M: \MLI \KENT -5059 503 650 -0188 FAX 503 650 -0189 Tidemark Advantage [Rick Bolen FIB] i File Edit Options Window Help ti- D I J itir C Exit New open Task List OBE GIS 4 Close Edit Project Group Add Clone Parcel Activity People Fees Valuation Conditions Case Notes Tog; Documents GIS Case ' ' Master Permit -- MSTZ006 1;0069 m� : ;.. q _t Statusl i _ S_ talus � � �` �� gy, Name :ROBERT R KENT Updated: 511.2006 MAV General Address:13155 SW 124TH AVE Jur: ITIG ' j } ,µ _> �, Building -..- R ‹ay Description: Master # JVAR2006 -10003 Project: KENT _w$ > � s'.,A : °;: �� > • ' � Bildi �N4;., Interior remodel & garage addition. _ ._. _ r- - Y ,: : ;-� ,- Mechanical s'' '", -: " :, - .1-.. r � ' - ' Plumbing City Contact: IDROSSETTI , ..; Reissue: (CUSTOM .,; Dates Electrical ` ., • ,5.. - . •; , Class of Work: ACS - ,• ., .q ` 1 Received: 13/30/2006 .,- ;: :;s ;s x'_4 ` 4 -,;.r,,„ Type of Use: ISF ,k El '''� �;. ^' . ; °'��`� � ' Target: �, - . . • ` r r Type of Construction: �N ° ` , r ;ki ' ` , � = .- Issued: f2f2006 :4 _ : 3, 7,. :,y Occupancy Group: 1R3 - , , �,.. r ., ; .; Restricted v re , �. ., � � , „�_ -� ,'�:: Expired: 112123/2006 Elecrical t • t' .: P` Total Valuation: $100,000.00 -�, .a ^ - Finaled: • . Residential • -;`;. :� Restricted ,..� .Y • : Elecrical , _-, �..: ^:..:: ; -; r- r Commercial — :v_' ; ;., z ` .,,.g ,,: .:: Ready - -- - — -- — — "" 7 1 i ' � Tidemark Advantage ... I - ,; ,rr`' [ :: 1 1:55 PM 1/23/2008 Case Activity Listing CCEL Case #: MST2006 -10069 1:55:47PM Assigned Done Updated ,.. Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MST1010 Application received 3/30/2006 None RECD DER 4/5/2006 DER ' MST1020 Permit created 3/30/2006 None DONE DER 4/5/2006 DER MST2240 Exterior sheathing 10/5/2006 10/6/2006 10/6/2006 None b 1 (� / KBS 10/6/2006 037828 -01 - 503- 849 -2048 - VM - �_ 4610 STI � 150 MST2240 Exterior sheathing 1 1/12/2006 11/13/2006 11/13/2006 None PASS MAV 11/13/2006 039632 -01 - 503 - 849 -2048 - VM - STI N MST2235 Shear walls /anchors 11/12/2006 11/13/2006 11/13/2006 None PASS MAV 11/13/2006 039632 -02 - 503- 849 -2048 - VM - STI N MST1065 Begin plan review 4/14/2006 None DONE MAV 4/14/2006 MAV MST1070 Revisions /Info 4/14/2006 None DONE MAV 4/14/2006 See plan review letter in file. requested MAV MST! 080 Revisions /Info routed 4/20/2006 None DONE BB 4/20/2006 3 sets revised plans to PE BLD MSTI 100 Building plans 5/1/2006 None APRV MAV 5/1/2006 approved by PE MAV MSTI 110 Approved plans 5/1/2006 None DONE MAV 5/1/2006 routed to PT MAV MSTI 840 Bolts in_concrete___J None ; 5/1/2006 MAV Page I of 3 CaseActivity..rpt 1/23/2008 Case Activity Listing CCEL/�... Case #: MST2006 -10069 1:55:47PM Assigned Done Updated P. Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes - MST1900 Engineered soils None 5/1/2006 MAV MST1910 Special inspection None 5/1/2006 (see plans) MAV MST1240 Post - review 5/1/2006 None DONE DER 5/1/2006 completed DER MST1270 Ready to issue permit 5/1/2006 None REDY DER 5/1/2006 DER MST1280 Issue permit 5/2/2006 None DONE BB 4/12/2007 BLD MST2305 Plumbing underslab 5/31/2006 6/1/2006 6/1/2006 None ell ( MRS 6/1/2006 030936 -01 - 503 - 849 -2048 - VM - STI Y -180 MST2305 Plumbing underslab 6/1/2006 6/2/2006 6/2/2006 None PASS RB 6/2/2006 031024 -0 - 503 849 - 2048 - VM - STI N MST2220 Slab 6/11/2006 6/12/2006 6/12/2006 None CANC RB 6/12/2006 031570 -01 - 503- 849 -2048 - VI% STI Y -150 MST2295 Misc. inspection 6/11/2006 6/12/2006 6/12/2006 None CANC RB 6/12/2006 031570 -02 - 503- 849 -2048 - VM - STI N -150 MST2205 Footing 6/23/2006 None VW° KBS 6/23/2006 4/4) KBS MST2210 Foundation walls 6/23/2006 None •T/„� (0 KBS 6/23/2006 KBS Page 2 of 3 CaseActivity..rpt - - Case Activity Listing 1/23/2008 CCEL - Case #: MST2006 -10069 1:55:47PM Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MST2205 Footing 6/26/2006 None PASS KBS 6/28/2006 KBS MST2210 Foundation walls 6/26/2006 None PASS KBS 6/28/2006 KBS MST2215 Footing drain 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -01 - 503- 849 -2048 - VM - RB N MST2255 Wtr proofing 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -02 - 503- 849 -2048 - VM - basement walls RB N MST2335 Rain drain 7/3/2006 7/5/2006 7/3/2006 None PASS RB 7/3/2006 032633 -03 - 503- 849 -2048 - VM - RB N MST2 1 15 Electrical service 8/3/2006 8/4/2006 8/4/2006 None 8 c / HAP 8/4/2006 034409 -01 - 503 -849 -2048 - VM - STI N -180 MST2I 15 Electrical service 8/4/2006 8/7/2006 8/7/2006 None PASS HAP 8/7/2006 034480 -01 - 503- 849 -2048 - VM - STI N Page 3 of 3 CaseActivity..rpt CITY OF TIGARD !i BUILDING DIVISION PERMIT #: MS12006 -10069 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/212006 Phone: (503) 639 -4171 �,. tt i l l •Inspection Requests (24 Hrs.): (503) 639 -4175 .,. - ° - _.. INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 8:42AM PAGE: 1 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503 - 968 -5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 032633-03 503 - 849-2048 N Corrections /Com mennts /Instructions: ' 4% . 6 ILL'etk., Cp 4 EXPIRED PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (A../ Date: ! I Phone #: (503) 718- Z V Li( CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006•10069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 � 1�' Inspection Requests (24 Hrs.): (503) 639 -4175 _--!j 0 - INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:08AM PAGE: 6 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503- 960•f89 i CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 031024 -01 503 - 849.2048 N Corrections /Comments/ Instructions: N fie : 7 - t - : // ( ) — L1 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C ej Date: L 6 (2 Phone #: (503) 718- 13A2St • CITY OF TIGARD BUILDING DIVISION . PERMIT # , 13125 SW Hall Blvd., Tigard, OR 97223 , DATE .ISSUED: 50 205 '• ' Phone: (503) 639=4171' :. . ' 44111111 Inspection Requests (24 Hrs.): (503) 639 -4175 "'I � INSPECTION WORKSHEET FOR ' DATE: W1/2006 "TIME : f: 03At .. PAGE: ' 9 ,SITE ADDRESS :' - 13•15b F :AV 12111 AVE, CLASS OF WORK: SUBDIVISION: i..LAm1.1T'I'E: 1 2 LOT' #: 014 TYPE OF USE PROJECT NAME: KE'iNF1 DESCRIPTION: Iiqt;ia;; • OWNER KENT, 1q 1'14T PHONE #: 503, . 4 +::?? 5696 CONTRACTOR :. t Q: PHONE #: Inspection Request Scheduled.For :., Date: 6/1 0 . Pour Time Code # Inspection Description' Confirm .# Contact # " Message ,'.ii.''; i il der i"ii 0 93 0.1 '5103. M 0'38 V • Corrections /Comments /Instructions: 42 .1 '"' 4, AVALagriaP .� = `� • A gg A If / �, 2 • ❑. PASS. ❑'.PARTIAL,APPROVAL ❑ CANCEL ❑ NO ACCESS I 0 FAIL CALL FOR INSPECTION:. ❑' ADDITIONAL FEES: ASSESSED. - Inspector: )- pG Date: Phone # : 718 = �� CITY OF TIGARD BUILDING DIVISION PERMIT #: MiST7006 -10069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 ��11� Inspection Requests (24 Hrs.): (503) 639 -4175 . , I L INSPECTION WORKSHEET FOR DATE: 8!712006 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO .2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503 - 968.6895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/7/2006 Pour Time: Code # Inspection Description / Confirm # Contact # Message 1 115 Electrical service `V/ 034480 -01 503 - 849-2048 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • > �,* j� 7 Inspector: . ; % Date: 5o Phone #: (503) 718 = " C CITY OF TIGARD BUILDING DIVISION l� 1(• 5 r PERMIT #: MST200G -10069 13125 SW Hall Blvd., Tigard, OR 97223 W 1 / DATE ISSUED: 502006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1CLiL :Olt _— INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04AM PAGE: 12 SITE ADDRESS: 13165 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503- 9G8 -5139G CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/4/2006 Pour Time: Code # Inspection Description V Confirm # Contact # Message 115 Electrical service 034409-01 503-849-2048 N Corrections /Comments /Instructions: 1 ALA di /. /' iithfrligi, Atztf A. /4 04-r4 I .i1 <. / / / 61 aL1-4 .1d4- / •,4 )4 !._/ heAsei-a t io, 0,,,,,2, A Aw' my . 111E1' fOritarl i I / / • ❑ PASS ❑ PARTIAL APPROVAL El CANCEL Ell NO ACCESS FAIL , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A Inspector: ' ` Date: ( 6 t p l e Phone #: (503) 718 CITY OF TIGARD \: BUILDING DIVISION PERMIT #: MST2006-100S9" . 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 I C I Inspection Requests (24 Hrs.): (503) 639 -4175 s' ": _.. INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 45 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503-968-5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Shear walls/anchors 039632 -02 503-849-2048 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I p►v Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &10063 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 s� INSPECTION WORKSHEET FOR DATE: 1 1/1 312006 TIME: 7 :04AM PAGE: 46• . 01' 1 ) 1 Y SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503 -968 -5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 039632 -01 503-849-2048 N Corrections/Comments/Instructions: (D K . To C U i/ 6' , _afASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M. A V Date: 11 /3 /06 Phone #: (503) 718- ..-).s-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10069 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/7006 Phone: (503) 639- 4171��gq� Inspection Requests (24 Hrs.): (503) 639 -4175 . . "'I L. INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7:03AM PAGE: 4 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503- 968 -5895 CONTRACTOR: - OWNER PHONE #: Inspection Request Scheduled For: Date: 10/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 037828 -01 503-849 -2048 N Corrections /Comments /Instructions: ‘: G(Jl /A ' • B I c. 7. ' , 4 itS d--C , 'ii / . , li ).1-e-rfni,„ CAee* e. ❑ PA_-- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS EALAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: s Date: /a - 6 --f 6 Phone #: (503) 718 - 2---¢ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.10069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 g� - Inspection Requests (24 Hrs.): (503) 639 -4175 . IL. INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 8:42AM PAGE: 2 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503-968-5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 Wtr proofing basement walls 032633 -02 503 - 843.2048 N Corrections /Comments /Instructions: P. S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � e ib( Inspector: 1 V �l ' 1� Date: Phone #: (503) 718- l V L 1 CITY OF TIGARD et BUILDING DIVISION PERMIT #: MST2006- 10069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512/2°°6 Phone: (503) 639-4171 '�I pv Inspection Requests (24 Hrs.): (503) 639 -4175 .�'2. I L. INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 0:42AM PAGE: 3 I SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: 1MLLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503 - 968 -5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 715/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 032633.01 503 - 849 -2048 N Corrections /Co ment Instructions I /I / : I1 iL ' \ ,;-6C-- os "t9-4 I AA L ,-;>. o..23--t--t........ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED vi c) ( 4 / , ‘..di 7 Inspector: Date: P7 h1 Phone #: (503) 718 - CITY OF TIGARD • • BUILDING DIVISION PERMIT #: MST2006.10f189 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512f20()6 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ..'.. I . INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7 :05AM PAGE: 2 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503-968.5095 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/26/2006 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 270 Reinforcing steel (rebar) 032367 -01 503849 -2048 N 20.E 2 la 1, pn.)• Corrections/Comments/Instructions: .2 '55.e r us es. bosom s z4:5 .41 4-s ." v • [ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: /fJ Date: Phone #: (503) 718 -4-tS JUN -26 -06 MON 07:47 AM P,01 La VIELLE GEOTECHNICA.L P.C. 2313 NEAlaneda Portland, Oregon 972)2 (503) 287 -0511. Fax 382 -7671 June 23, 2006 our ref: 06- 2012.040 Robert Kent 13155 SW 124 Avenue . Portland, Oregon 97223 RE: BEARING CONFIRMATION 13155 SW 124 AVENUE PORTLAND, OREGON Sir: In accordance with your request we visited this site described above and evaluated the proposed foundation bearing materials. The foundation excavations have exposed native medium stiff, brown clayey silt. This material is consistent with a design allowable bearing pressure of 2,000 psf. At the time of our site visit the proposed bearing material was ready to receive concrete. We are available to discuss the project as described above. Please call if you have questions. • Sincerely, r :._: y� p�MFE ` LaVJELLE GEO7ECHNICAL PC 9 . . c p 4 Ai & Craig C. LaVielle PE, GE ° 3•27 -St • flei • /- CITY OF TIGARD /Y) sT BUILDING DIVISION PERMIT #: BUG — / 046 q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 - 4171 , 1' ( l Inspection Requests (24 Hrs.): (503) 639 -4175 �'!� 1 .L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 3 /s_ / a / c---- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: —a, j — c Pour Time Code # Inspection scrigtion Confirm # Contact # Message j &-C-&-° -' gy9 -mo ve orrec -• s omments /Instructions: -- ----_ ii0 NE, S3Q/ -.7" s ns;r" ❑ PA : ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS la FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: il Date: ,!v23 0,7 Phone #: (503) 718 - Z' CITY OF TIGARD MS C O T BUILDING DIVISION PERMIT #: /eo 6 5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 .r' "'I L INSPECTION WORKSHEET FOR DATE: o/JS 76 TIME: PAGE: SITE ADDRESS: ` / S S /02 4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Y v ' Code # Inspection Description Confirm # Contact # Message Corrections /Comment�structions: -- 7' 's1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gil'/ / Date: � '�� " Phone #: (503) 718 - &6 g / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 10069 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/2/2006 Phone: (503) 639 -4171 j Inspection Requests (24 Hrs.): (503) 639 -4175 . . .. ° :_.. INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 2'1 i2/s', MARIan/ SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILL E NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503.9GB -5895 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 031570 -01 503- 849 -20 Y Correcti ns /Com is /l tructions: fl f) e . a, 6_._-t km-A (-Ni\-a Lrae--/z-- L .f fv\, -.,„ 4. Ql uvw-iv,.._-. 6 1\4/ .__, 6 AL \\To 51 0,(k-(41-1_ A__c \AA,--V C2,,,,y 1 ❑ P S ❑ PARTIAL APPROVAL 'CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CHIP • Date: 6 • e .0 6 Phone #: (503) 718- ZS fir CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2008- 10063 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/7J2005 Phone: (503) 639 -4171 iii Inspection Requests (24 Hrs.): (503) 639 -4175 .7.44- "1 INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 23 SITE ADDRESS: 13155 SW 124TH AVE CLASS OF WORK: SUBDIVISION: WILLAME fE NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: KENT DESCRIPTION: Interior remodel & garage addition. OWNER: KENT, ROBERT PHONE #: 503.308.589.5 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 031570-02 503.849 -2048 N Corrections /Comments /Instr ctions: u,,,v-_c■c2, _0\,.,„,c,,,,,, -c4L__ c2_,_A,z,_.,,A- Fiy or„..._,J-- s--,..,.,„_,_ -) IQ ua-&Q- -6 4 i 0_, O 1P \ i PARTIAL APPROVAL PA 111 C ANCEL ❑ NO ACCESS In0 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �riftP Date: C?' e_. 0 6 Phone #: (503) 718- gZ t yy Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13155 SW 124TH AVE, US Building/Res/Master Permit/NA 699 Mechanical ﬁnal PASS MST2006-10069 David Young Mechanical ﬁnal approved. Recall ﬁnal inspections for other open mechanical permits to be approved. Violation Summary: Inspector Contractor