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Permit
` I' 4 I! � CITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00218 i DEVELOPMENT SERVICES DATE ISSUED: 9/11/2006 l Q:J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104AD -03301 SITE ADDRESS: 12950 SW 129TH PL ZONING: R - SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Addition of bedroom & bath. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 578 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 60,000.00 OCCUPANCY GRP: R3 BDRM: I BATH: 1 TOTAL: 578 sf REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIIJCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: ELE FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 5 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: G BURGLAR ALARM: OTH: \LL EN Go-t"" Q 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 GLEN & LIS HENNEMAN QUALITY HOMES BY RON DIME) applicable laws. All work will be done in accordance with approved 12950 SW 129TH PL PO BOX 5218 plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 BEAVERTON, OR 97006 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 - 579 - 5125 Contact #: PRI 503 649 - 5673 of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: LIC 32677 TOTAL FEES: $ 1,206.47 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 n , Issued By :",7?: ,��(� Permittee Signature t Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio Fi P Fo OFFICE USE ONI.,� City y of Tigard Date/B . a 70 % ' 'ti t 4 -. '" 13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 2006 t� Plan Revie M . .' Phone: 503.639.4171 Fax: 503.598.1960 Date/B . (-{, , • r r • `� Other Permit Ti G A R D Inspection Line: 503.639.4175 p p Date Ready/By: ® See Attached Checklist for Internet: www.tigard- or.gov X1 X Ui i ! Cjiiiil j Notified/Method: 49 ' 1 , Supplemental Information RI TTY nr.jr- i ;-g;N111 S\ A. L'' /r,CW\., 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 D ir Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. P , 1 -and 2 -family dwelling ❑ Commercial /industrial Valuation: $ � n a , QOO ❑ Accessory building ❑ Multi- family Number of bedrooms: ``-��"" ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: I Job site address: , 2 50 S1,4 1'2_ ` 11. p L New dwelling area: 5 ri T square feet City /State /ZIP: T -'p, Or 11 223 Garage /carport area: --. square feet Suite/bldg. /apt. no.: T_ Y Project name: {..ts ..,t ✓�em Covered porch area: square feet Cross street /directions to job site: C % I Cl. . � "r (2q 1' A Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1* ✓ 10 4 AD 0 '31 0 % 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. . d )i T1 0 t , _ eV Th Valuation: $ ��y 1 �t/�7 Existing building area: square feet New building area: square feet A.PROPERTY OWNER ❑ TENANT Number of stories: Name: 1 4, L' 5./t v ue .1�� Type of construction: Address: I2q 5o St I I 'f 4 el.. Occupancy groups: • City /State /ZIP: - - T 012, CI r11. � Existing: Phone: (Sogi 511 511 ' Fax: ( ) New: 7 APPLICANT ❑ CONTACT PERSON NOTICE Business name: c .0 a p j- T `1"-' , Arr MI contractors and subcontractors are required to be Contact name: �w 3v —r ?� e4• c l r G licensed with the Oregon Construction Contractors Board �--� �` under ORS 701 and may be required to be licensed in the Address: 12(,5 G Mp 421.013 ! jurisdiction in which work is being performed. If the City /State /ZIP:' t� , pg. '1 3 applicant is exempt from licensing, the following reasons r`^/ l - / apply: Phone: (5.03) S 24 • 80 , /_ Fax:: ( ) E -mail: e 41, V tZ+ \text1O v‘ . A.�� CONTRACTOR Business name: **1' �) 0 usay.( ) b1`N I p.Vd Address: p(S JOK 5—#2_1g) / _BUILDING PERMIT FEES* (Please refer to fee schedule) D ,...,2_ City /State /Z[P: �3��aa��j✓ Q� ���� Structural plan review fee (or deposit): Phone: (5 )3) & ` j 9 5--& 7 3 Fax: (c 3 r- 1 FLS plan review fee (if applicable) ,�_ CCB lic.: 3W -7 Total fees due upon application: , - 5 a- eza ,L1 Amount received: 1 ■ Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: eiym✓AOx.) Pcy.r _ Date: 2, — is . oc * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP -RES- PermitApp.doc 03/21/06 440- 4613T(I I /02/COM/WEB) One- and Two - Family Dwelling ' • Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: 'I 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. ' . U . • Phone: 503.639.4171 Fax: 503.598.1960 Assocc permits: TIGARD 24 -Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard - or.gov ❑ 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 a = t royal re = uired. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ _ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must'carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection; etc. • 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ . ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached•to the plans with cross references between plan,location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; propertycorner.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; fdr 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 a, .licable to the .ro'ect under review. . .1 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:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 Electrical Permit Application • . . • FOR OFFICE USE O:NI City of Tigard Received Permit 111 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review D l 11 .' • Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit: TI G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ;Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural Dir.1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 - ", Job no.: Job site address: , �1 Co 5 L) 1 2 1 L Six or or more. occupancy. ❑ ix or more re residential units. ❑ Recreational vehicle parks. ❑ Health -care facilities. ❑ Supply voltage for more than City / State/ZIP: -- Ti .7 ` Q ¢ 11 11: 600 volts nominal. ❑ Hazardous locations. Suite/bldg./apt no.: Project name: �o� gMop 0 or feeder 600 amps or more. FEE SCHEDULE_ Cross street/directions to job site: SI/J �w (� �A im 1 i I - 1-2_ 1 Description I Qty. 1 Fee. I Total v ` New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: 2 6 i O 4 Ad) p 0 f Li Limited n y, es ft. or portion 33.40 1 3 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) A Q ,, Limited energy, multi - family 75.00 2 - D D (" r 0 0 . ��adat`o( 4 ��5-(} -A residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 Ig. PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2 CV Name: t/ V .ti Li cAt `gm �� 401 amps to 1, 0 amps 160.60 2 \ 601 amps to 1,000 amps 240.60 2 Address: 12A 5 - 0 s W (Zal 111 Over 1,000 amps or volts 454.65 2 City /State /ZIP: • t��RD i 0g. 9 i 223 Temporary services or feeders installation, alteration, and/or relocation Phone: (5 571 . s'(t ' 1 Fax: ( ) • 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with ' Bit APPLICANT • , ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: f B. `^ Ola � - � LLG Fee for branch circuits without service or feeder fee, 1 46.85 2 Contact name: C,�,A ) V 1� first branch circuit Address: l2 ! iii N1A2tDa c-: Each add'l branch circuit 5 6.65 2 Miscellaneous (service or feeder not included) City / State/ZIP: � iijver w ( OF - 11 Each manufactured or modular 90.90 2 t q r � ` �' `� Fax: dwelling, service and/or feeder Phone: (5-65) c — 1 . &gee ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR • Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: - 1 - 137,131 , ( 00.__E r (-- y j� V E nergy panel, alteration, or Address: ' ty' 4� �` . extension. Describe: Page 2 2 • Cit /State/ZIP: g�_ ) @�� Each additional inspection over allowable in any of the above Per a3) 7 C, 9 Lj Fax: . � ( ) inspection 62.50 Phone: Investigation per hour (1 hr min) 62.50 CCB Lic.:302 6n7 7_ Electrical Lic.: 3' / yye, Suprv. Lie.: -222 " Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: (e Subtotal: Print name: fL e , S t ° /� iy r i Date: / " -O � Plan review (25 %of permit fee) 1 �" +C State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I :\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: [;,12E8IDENEM WORI(ONLt'' 77, 7 .71 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* 0 Other: • 17,00M1VISEkCIAILV6IOCONT.V:77, Fee for each commercial $75.00 • , • . , system (SEE OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems ,..• ID Boiler Controls . . El Clock Systems E l Data Telecommunication Installation El Fire Alarm Installation • • HVAC Instrumentation • El Intercom and Paging Systems E l Landscape Irrigation Control* El Medical 0 Nurse Calls ID Outdoor Landscape Lighting* E l Protective Signaling 1=1 Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \BuildingTermitskELC-PennitApp.doc 03/23/06 Mechanical Permit AePlication FOR OFFICE USE ONLY C of Tigard Received liZIEMMIna . ° 13125 SW Hall Blvd. Tigard OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit: TI G A R D Inspection Line: 503.639 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information . TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST . 1:1 New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS'FEES* ' Xi- and 2-family g ❑ Commercial /industrial ❑ A ccessory building ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling ^p 1K Air conditioning or heat pump Job site address: 11.1 1 5 5 W 2 , 1 O. (requires site plan showing placement) 14.00 I I City /State /ZIP: 1 •G Ac� 1 a I, Furnace 100,000 BTU (ducts/vents) 14.00 1 f 1 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: 1..ke 14 t,, r �1 A2 1 Gas heat pump 14.00 . Cross street /directions to job site: Sal wmpar `r0 l2� 1) i Duct work 1 14.00 ,, Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: 2 e7 l 0 A* pi) O$ 3 t0 1 Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 AO p 11100 BWROdN` thy )t..'fK W i Flue vent for water heater or gas � ,} � 0 M p 4 fireplace 10.00 r `�� 1 4» Dvert r ' Log lighter (gas) 10.00 t4EA 4 g .,A Wood /pellet stove 10.00 Wood fireplace /insert 10.00 j• PROPERTY OWNER ❑ TENANT Chimney /liner /flue vent 10.00 Other: 10.00 Name: 4 LA sp, 4E+ir.e'Lb4 0 Environmental exhaust and ventilation Address: C III Range hood/other kitchen ill s 0 S Va f '_1 equipment 10.00 City/State/ZIP: City/State/ZIP: - t OF. Clothes dryer exhaust 10.00 K ! Single -duct exhaust (bathrooms, Phone: (103) S 99 - 5 5 Fax: ( ) toilet compartments, utility rooms) 1 6.80 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: C A ,1 � ? � VrZ . VLL Fuel piping Contact name: ��M podr $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 12.$ G, s 5 N4,64 (p N Gas heat pump 7 s p p . City /State /ZIP: -'t& Rf� �, '1121.) Wall /suspended/unit heater Phone: ( 5.-ey, , 5 8 (C Ir Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue �- ff ` c / l L t, 9 Clothes dryer (gas) Business name: ! - Gj, ` I O /�Z /"' Other: Address: MECHANICAL PERMIT FEES* ' • City /State /ZIP: r j�A Subtotal / ) Fax: Minimum permit fee ($72.50) Phone: ( ) K i. fls I ( ) Plan review (25% of permit fee) CCB lic.: 9/7'n) State surcharge (8% of permit fee) V 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. • P rint name: t�� Saar .1 u - r .� Date: B. 15 - 0 f.P, * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp,doc 04 /06/06 4404617T( I1 /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 $50,001.00 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 NEC- PermitApp.doc 12/30/05 2 .Building Fixtures Plumbing Permit Application FOR OF use ONLY City of Tigard Received Permit NoVS-��� ( 1 Date n 13125 SW Hall Blvd., Tigard, OR 97223 1 Plan Review ■ Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit No.: T1 G A KD Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for . Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total g Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY .OF CONSTRUCTION SFR(1)bath 249.20 1511- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ID Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE _INFORMATION AND LOCATION ' Site utilities Job site address: (/L� co 51. ('2. 1 ''lit rL Catch basin or area drain 16.60 City /State /ZIP: 12 C'�l Vt. -.S Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: _) Page 2 - 1 "' "'��+ Manufactured home utilities 110.00 Cross street /directions to job site: 5 w 1,j T ...-re, 121 114 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 A Subdivision: Lot no.: Water service (no. linear ft.: _) Page 2 / A Fixture or item Tax map /parcel no.: 2. IS '1' p d 33 p 1 Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 01mt3 : g 4 b --ni Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 , IXPROPERTY OWNER I ❑ TENANT - Drinking fountain 16.60 Ejectors sump 16.60 Name: 4�rGsB,,,,, x LISA a06,1■4 ri' Expansion tank 16.60 Address: ' V 5 ' o 51 I # _ l'I't Fixture /sewer cap 16.60 City /State /ZIP: 1 16 o� 17 22'S Floor drain/floor sink/hub 16.60 Phone: 50, 5'1 9 , C,' 1 . Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 APPLICANT ❑ ' CONTACT PERSON Ice maker 16.60 Business name: ,,,,,,„ {7 3) „ �Z /�j ��'I LL L Interceptor /grease trap 16.60 name: 6 .p U 1 t. l r�t"� Medical gas (value: $ ) Page 2 Address: (Z S 1•14,642j.0 1•3 S (: Primer 16.60 City /State /ZIP!l p � e:12Z3 Roofdrain(commercial) 16.60 Phone: ( ;5 j) S. 80 L c I Fax: : ( ) Sink/basin/lavatory 2 16.60 Tub /shower /shower pan I 16.60 E -mail: Urinal 16.60 CONTRACTOR - Water closet ' 16.60 Business name: T i v . /� ( itip t� pt,,,,k.. i 0 Wat er heater I 16.60 I Address: tf/ t 1 1 Other: City /State /ZIP: A.7" j bC9 t% Minimum permit fee: $72.50 Phone: (3) 527,,- 5'r C/ Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: V:// i PI ing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: / , _ "� d13 j t � � z _ ..- Date:g. is -. 04 , 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. 11Building \Permits\PLMF- PermitApp.doc 04 /06/06 440 -4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard ' Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: TSite- Utilities 2,-' . Qty. Fee (ea) , Total " ° • Sq u a re' F ootage: Periiriit °Fee: Footing drain - 1' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 ,, • ' Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: `` - . . $1.00 to $5,000.00 Minimum fee $72.50 . Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture. or Item"' Q F ee (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: t $50 up , • $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: • Plan Re for Comp 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 to food service -Drive Thru facilities where new plumbing fiktures, 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" 3 „ 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./Itefrig. Drains • Oil Separator (Gas Station) Comments regarding fixture w 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\Permits\PLM- PermitApp.doc 07/06/05 CleanWater Services _ Our commitment is clear. A UG 1 ; 2006 May 11, 2006 '"' ~ Cameron Dutz Architecture 12365 SW Marion St. Tigard, OR 97223 RE: Addition to single family residence located at 12950 SW 129 'Ave., Portland, OR CWS file 06- 000982 (Tax map 2S104AD, Tax lot 03301) Clean Water Services has received your Sensitive Area Certification for the • above referenced site. District staff has reviewed the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project will not 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 must 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 «UserPhone». Sincerely, Chuck Buckallew Environmental Plan Review Site plan attached 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org CITY OF TIGARD . 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE 1,1 ATHENS ELECTRIC INC ' EC ED 15917 NW LOGIE TRL HILLSBORO, OR 97124 -8152 SEP 2 ¶ 2006 CITY OF TIGARD Electrical Signature Form EUtLD1NGDIVISI ®N Permit #: MST2006 -00218 Date Issued: 9/11/2006 Parcel: 2S104AD -03301 Site Address: 12950 SW 129TH PL Subdivision: Block: Lot: Jurisdiction: TIG Zoning: R -7 Remarks: Addition of bedroom & bath. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: GLEN & LIS HENNEMAN ATHENS ELECTRIC INC 12950 SW 129TH PL 15917 NW LOGIE TRL TIGARD, OR 97223 HILLSBORO, OR 97124 -8152 Phone #: 503 - 579 -5125 Phone #: 503 - 647 -5823 Reg #: ELE 34 -144C LIC 46085 SUP 2829S AN INK SIGNATURE IS REQUIRED ON THIS FORM Sign. - • Supervising Electrician If you have any questions, please call 503.718.2433. / / CITY OF ' ��mn m ��w TIGARD • ' 0- BUILDING DUNG DU"'USION � PERMIT #: K4ST2006-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (508)G39-iM71 1 Inspection Request's (l4Hrsj:��%�830~4175 "K�-~��� INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02Ah8 PAGE: 10 1 SITE ADDRESS: 12990 SW 129TH PL CLASS OF WORK: . SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24/06, adding all encomp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 CONTRACTOR: QUALITY HOMES BY RON DI MED PHONE #: 603-649-5673 Inspection Request Scheduled For: Date: 3/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 046191'01 503-816-3687 Y Corrections/Comments/Instructions: .'� I..t~ /�"**�. ■/ l--1~ 7 Z/i --- ^ 14 4te.6 ^ ~^*, ' tn./ 7-71-Li- ' 5.1...' ~+^� — -- ` 7 . | �� ASS / PARTIAL / / CANCEL NO ACCESS | | FAIL 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED / Inspector: Oate: 9-- Phone #: (503) 718- '-�-m&o--~~ CITY OF TIGARD . i. BUILDING DIVISION PERMIT #: MS'2006 002113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 %i p@n�N f Inspection Requests (24 Hrs.): (503) 639 -4175 A_.. INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7 :00AM PAGE: 4 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath, 10/24/06, adding all encamp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503.579.5 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 -649- 5673 Inspection Request Scheduled For: Date: 2/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes = 199 Electrical final 043691 -01 503-816-3667 C /./ Corrections /Comments /Instructions: Y9S� CAF V/ °I 01 C &O.r 5 ii&J - S IT-L,- e_____ r:c:c7, r'k J it 1014 4, / IM0 A '7 7.01. PA SS n PARTIAL APPROVAL I I CANCEL L - 0 ADDITIONAL FEES ASSESSED Inspector: C1 -1i( Date: 0/%7 Phone #: (503) 718- 7-61Z/r' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91/1/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7 :01AM PAGE: 6 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24106, adding all encamp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-579-5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503-649-5673 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess 199 Electrical final 042313 501- 816-3699 z i/S Corrections/Comments/Instructions: i Ip2 ov c am _ /r' I G ( `rig 0 t C��T�Cou� ') I"�►� 'L-C_ . /Aj - u �c -� Il Lf f i l k) z/ o. (Z C I PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ( -4 h Date: / /1 o 7 Phone #: (503) 718- Z‘ z`y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20135 0021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 A Inspect ion Requests (24 Hrs.): (503) 639 -4175 Ja __.. INSPECTION WORKSHEET FOR DATE: 10125/2006 TIME: 7 :03AM PAGE: 55 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 1O /24/06, adding all encomp. low voltage. OWNER: HENNEMAN, GLEN & USA PHONE #: 503 -679 -5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 -649 -5673 Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Descrip,;.:,-- Confirm # Contact # Message 120 Electrical rough t ' 9 � 0387 81-01 503-816-3667 N Corrections /Comments /Instructions: _GRro /0/ r 7 a67 6frili t k1/43 A, CPALP G S 63 w1 c e-• �f Avg.. Gi S d G IJo,,,( ER, ►'` -ASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CH Date: � O_, Phone #: (503) 718- ______q____y_ CITY OF TIGARD .. BUILDING DIVISION PERMIT #: MST2006 -00218 13125 SW Hall Blvd., Tigard, OR. 97223 DATE ISSUED: 91/1/2006 Phone: (503) 639 -4171 Ame ��iti Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 1 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & USA PHONE #: 603- 579 -6126 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503- -549 -5673 Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 038682 -03 503 -818 -3667 N . Corrections /Comments /Instructions: R Po I d/ i `7 6 G CwD c.ircgcz /1 - 1) ? g'u v /1. G.; 1.) An_ t, dest 6, 1- - ,- .41_. V i/ 0 .1-- IOW A - k. C i ■ 'mat- 2 ----- t /7 - I or— 4 S�V) 6vZ . Z ff c =7. -- c=c SL'ti� L-1 l,. / fT--- r TUC S .1._ / - r - Pg. v � c� 6,5 r✓r )(T7) ? L 1 l-0 . 0 2 PK'o V IN /� A- P7) 'rue (- Pew //1D & C& )A-M r/ (,i( ` L.a (- k ) 5 C 6JV3 Pe0 V , N c � f- c e55 7 c-_20 / 6_4_. F Ol - , NIo sly! Src ,6= �9 e___- -rifis - an/67 _66r . Lao 0L Z- C . o .0 "4 ,� �C C41 Gam, E1 A-- \-- .\/ Pt , MM I`- f-o» t,/o2�L. 6 .7 A) , ❑ PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS ,t1 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: , Date: /D 23 0 Phone #: (503) 718- Z 6 e/y CITY OF TIGARD . . . BUILDING DIVISION PERMIT #: MST2006-00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 i Phone: (503) 639-4171 _I 1447141 it Inspection Requests (24 Hrs.): (503) 639-4175 .., e...!.. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 16 , SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-579-5125 , CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503-549-5673 Inspection Request Scheduled For: Date: 1011912006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 038511-04 503-816-3667 N Zitl Corrections/Comments/I i structions ZrPote i 0/7 (96 thil; c_oe_e_15 e_c7/14 P EI PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS 74 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: CMP Date: / P) 66 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200&- 00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 1 A j Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 9 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEIMIAN, GLEN & LISA PHONE #: 503. 579.5125 CONTRACTOR: QUALITY HOMES BY RON DIME° PHONE #: 503 - 6649 -6673 . Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 038338 -01 503-816-3667 N , Corrections /Comments /Instructions: r . 4 ,. Ali_ id A Zolailr / 6 7 4 1 -F AeAir A' ., A ".,_■ ■4/1 '' 7 cJicp I e ita' 6//t1(.7 441 .4 ADK-e- 1 1 ` / k l 150 1 1 ( 1 ' - ' ,ate � , . / r te _ / I - �� i � ■ / �. 11/D4 1 1 l PASS n PARTIAL APPROVAL n CANCEL NO ACCESS AIL El<L FOR I SPECTION I I ADDITIONAL FEES ASSESSED Inspector: .fit/ A Date: ! one #: (503) 71 4LU/6 -.Jr CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 #1011a Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24/06, adding all encomp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-579-5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503-649 -5673 Inspection Request Scheduled For: Date: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 039089 -01 503-816-3667 N Corrections /Comments/ Instructions: I -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED • Inspector: �"4-17F• bate: !0 / l /G 6 Phone #: (503) 718- - CITY OF TIGARD . ,, . BUILDING DIVISION PERMIT #: f+ST2006 0021$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1'1/280 Phone: (503) 639 -4171 Ai n M��iifll Inspection Requests (24 Hrs.): (503) 639 -4175 ...':� INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:05AM PAGE: 12 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24/06, adding all encomp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503.579 -5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 -t49 -5673 Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 039012 -01 503 - 6183667 N Corrections/Comments/Instructions: ' _..■ G 0 s.■ - e • - ,,� • ,<-1 I PASS H PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: O (© Phone #: (503) 718- _ CITY OF TIGARD ' . ) . BUILDING DIVISION PERMIT #: T 0 00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 'l 11ft Inspection Requests (24 Hrs.): (503) 639 -4175 AA I .... INSPECTION WORKSHEET FOR DATE: 10/25/2006 TIME: 7:03AM PAGE: 53 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24/06, adding all encamp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-579-5125 CONTRACTOR: QUALITY HOMES BY RON DIME° PHONE #: 503 - 649 - 5673 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 038781 -03 503 - 816.3667 N Corrections /Comments /Instructions: .. 0 \ /e_ e k (o i C.-(4 - l) /> / Z_ /-1 K/11)V T7 Al a) 0 Vid KioriC/i41.5b f)t - "itiOS e.... sfq-ci./ex ___ .v %► b ' /tb -C.6 fir: _ <='., or �► l it - . - 'a Ar \7-> ,/--(_, /01; - , 4 uV - I 'f r P11.)61 it 4 ‘5 il-c. • i_,,,, e r n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS �A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C Date: l 0 - Phone #: (503) 718- Z-61/ CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200'00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639- 4171�v��j��! f�� Inspection Requests (24 Hrs.): (503) 639 -4175 ,J .Jr __.. INSPECTION WORKSHEET FOR DATE: 10125/2006 TIME: 7:03AM PAGE: 54 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: . SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. 10/24/06, adding all encamp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 -579 -5126 CONTRACTOR: QUALITY HOMES BY RON DIME() PHONE #: 503-649-5673 , Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Descript • Confirm # Contact # Message 240 Exterior sheathi :g 038781 -02 503. 816.3667 N Corrections /Comments /Instructions: gy c_0, — .. - e Ric-K. - o 3 6 UY • P ,, ' ' .- • k) 7 �f &�. ,k/ PASS n PARTIAL APPROVAL I CANCEL NO ACCESS II FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -t/-I (P Date: /a /ZS/34 Phone #: (503) 718 - Z.Zgy CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2006 00210 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 Ate .0100ilit- Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 9 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-579-5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 - 649.5673 Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 038682 -05 503-816-3667 N Corrections /Comments /Instructions: _ C. I C. GO - ,w • S « r /A _ M 14 kK - S 0 Ste &I. PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ( CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ?t Date: ,• _ _ Phone #: (503) 718 - Z� CITY OF TIGARD . BUILDING DIVISION PERMIT #: jST2QQ5 002 18 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 I ,4 " jail Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:Q4AM PAGE: 12 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 - 579-5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 -649 -5673 Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: , Code # Inspection Description Confirm # Contact # �- :. - 615 Mechanical rough - in 036602 -02 503 - 015-3667 V44 Corrections /Comments/ Instructions: Al cTZ= '. IQ cif/ r s 6t? A// //r c'� /t4 /C [ ZTh v Ai p �32. 47 �j kio - z. ► - . N el v ►.I � t i - 0 v c !JO 2 l r . Af A ■ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS so • ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: e_-112 Date: it, Z g e6 _ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 06 00 'I$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 44 ,� W .� Inspection Requests (24 Hrs.): (503) 639 -4175 ':� 'f L INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :AM PAGE: 13 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 - 579 - 5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 -649 -5673 Inspection Request Scheduled For: Date: 10/2312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 038682 -01 503 - 816-3667 N Corrections /Comments /Instructions: /z% f SS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ` I ADDITIONAL FEES ASSESSED Inspector: 4 Date: ti Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ' PERMIT #: MST2006-00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 / q i Inspection Requests (24 Hrs.): (503) 639 -4175 : . : !2tol■ INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 15 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: , SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: FIENNEMAN, GLEN & USA PHONE #: 503 - 579-5125 . CONTRACTOR: QUALITY HOMES BY RON DIMEO ' PHONE #: 503. 649 -5673 Inspection Request Scheduled For: Date: 10119/2006 Pour Time: /•/� Code # Inspection Description Confirm # Contact # Message � V 240 Exterior sheathing 038511 -05 503 - 816 -3667 N Corrections /Comments /Instructions: 1A.,,i..+1 ,/-\k—e—.9.,(Cli'N -,. ( ....._ VYN.,%--v C- L I (r-s\-- L ,. _3z___- \---trArk • PASS ( ( PARTIAL APPROVAL n CANCEL 1 I NO ACCESS r% FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r. Inspector: 1�� Date: ) -0 1 r4j Phone #: (503) 718 - 7 `1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3l11/2005 Phone: (503) 639 -4171 h �1jj Inspection Requests (24 Hrs.): (503) 639 -4175 .. �.. INSPECTION WORKSHEET FOR DATE: 10/1912006 TIME: 7 :02AM PAGE: 18 , SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 -579 -5125 CONTRACTOR: DUALITY HOMES BY RON DIMEO PHONE #: 503 - 649.5673 s Inspection Request Scheduled For: Date: 10119/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 038511 -02 503 -816 -3667 N Corrections /Comments /Instructions: _it It P. � k � • , • -. ,s (AS5 sl - 65 '1 ,--,/■_ c .,,,„..... A.-- 6_, c )Z-v .A.. 0 l 4---- 1 4 ii E 2_2_ ... e_e 1 ' e L UAr "/- 4 t- ___C..... Q---1"-s-.....,(■.-4S •.- '-- ' Q C.ArY7.2"'-) V Q---® 0_, i I I PASS I PARTIAL APPROVAL (l CANCEL ❑ NO ACCESS ICJ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' " 2 ` Date: 1 OA 4 Phone #: (503) 718 -�Ya -y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&- 00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 �p� f��1 Inspection Requests (24 Hrs.): (503) 639 -4175 .�! __,. ' INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 45 I SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & USA PHONE #: 503 -579 -5126 . CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503-649 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 038324 -02 503-- 816.3667 N Corrections /Comments /Instructions: :D n--LL- / ' Sr / � i o 'I.44._ 7 445ah9- < «c_ • I I PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS AIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 6 /7 -0 Phone #: (503) 718 - 2- t ------ . , . . , . _ _ . . , . CITY OF TIGARD 41 . ,______ BUILDING DIVISION PERMIT #: MST 00 G-0 218 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 A i� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' I L . INSPECTION WORKSHEET FOR DATE: 9113/2006 TIME: 7 :02AM PAGE: 14 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 - 579 -5125 CONTRACTOR: DUALITY HOMES BY RON DIMEO PHONE #: 5Q3- 649-5673 Inspection Request Scheduled For: Date: 9113/2006 Pour Tim . -I1 Code # Inspection Description Confirm # Contact # Message 205 Footing 036458-01 503 - 816-3667 N Corrections /Com nt /Instructions: C-10 E._ • -- le PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS ,► ■ IL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: D I/ I �/ ©� Phone #: (503) 718 - v I � CITY OF TIGARD - • BUILDING DIVISION PERMIT #: MST2006 -00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639- 4171u�9pu�" 1II Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `'l l.. INSPECTION WORKSHEET FOR DATE: 0/•i2/2006 TIME: 7 :01AM PAGE: 27 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 -579 -5125 CONTRACTOR: QUALITY HOMES BY RON DIME° PHONE #: 503-649-5573 Inspection Request Scheduled For: Date: 9112/2006 Pour,Time: 2t00 • Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 036372 -01 503- 816-3667 N Corrections /Comments /Instructions: A/66 O Sr Ai I - - • • I I PA ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: . Date: /2--© 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 002113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639- 4171���� @��I Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7 :01AM PAGE: 5 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMVIAN DESCRIPTION: Addition of bedroom & bath, 10n4/86, adding all encomp. low voltage. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503-5735125 CONTRACTOR: QUALITY HOMES BY RON CLIME° PHONE #: 503-649 -5673 Inspection Request Scheduled For: Date: 1/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final M2313-02 503. 613699 N p� r� Corrections /Comments /Instructions: II j� PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS n FAIL I I CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED Inspector: G 14- e Date: 1, /ile) 9 Phone #: (503) 718- Zyy CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00218 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/11/2006 Phone: (503) 639 - 4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 _ �� ■ INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 17 SITE ADDRESS: 12950 SW 129TH PL. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & USA PHONE #: 503 - 579.5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO PHONE #: 503 - 649-5673 Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 038611 -03 503-816-3667 N Corrections /Comments/ Instructions: • " Ill PARTIAL APPROVAL n CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED k/Z Inspector: C✓ �.._ Date:` ® 1 ` 4 Phone #: (503) 718- 2 " - 7 2-5( CITY OF TIGARD ., . BUILDING DIVISION PERMIT #: MS 00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 :Al Inspection Requests (24 Hrs.): (503) 639 -4175 `- ,. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIM : 7 :02AM PAGE: 19 SITE ADDRESS: 12950 SW 129TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 -579 -5125 CONTRACTOR: QUALITY HOMES BY RON DIME° PHONE #: 503 -649 -5673 . Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: . Code # Inspection Description Confirm # Contact # Message 316 Post/beam plumbing 038611-01 503 -816 -3667 N • . Corrections /Commen Instructions: tae: h8MA C, \ geka C ` O lt. / 4e- A--eS a-0--tAp-,e_ .-- c,AAro___0-cSi-.. 6 -P-c/ 11 -eS • d IlASS i I PARTIAL APPROVAL n CANCEL n NO ACCESS 1 FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: �" �-^� , D °/` 5 ' ( P hone #: (503) 718 -2 - T 2- i-- _a . CITY OF TIGARD . � BUILDING DIVISION PERMIT #: MST2006-00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006 Phone: (503) 639 -4171 e � yl� 7 / Inspection Requests (24 Hrs.): (503) 639 -4175 -!�. - i r INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :Q4AM PAGE: 46 SITE ADDRESS: 12950 SW 129TH PI_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HENNEMAN DESCRIPTION: Addition of bedroom & bath. OWNER: HENNEMAN, GLEN & LISA PHONE #: 503 -579 -5125 CONTRACTOR: QUALITY HOMES BY RON DIMEO • PHONE #: 503 - 649.5673 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 038324 -01 503- 816-3667 N Corrections/Comments/Instructions: / d JC --(/ Ci 0 Po S •T • (Ok/j .. 4 1 6 P 11-6"1 -. )-1 L • pi/13-cl-- tP 67p_ 1/ „T_,4_ i / L 42,/,..., 71, . - 1.--vviti , teL,_ c_., _y___,,, r 4/$ 6 (,,, W/D • eAr-tt-AAJ c (..-vL. . Aj � I S S cc.-V c� - Zvd U _ 6 t( 0 PA S PARTIAL APPROVAL CANCEL NO ACCESS FAIL II CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: ` 6/17 I� Phone #: (503) 718 Zy i CITY OF TIGARD BUILDING DIVISION PERMIT #:a C ' fJd_, J 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �uypap4 l\ Inspection Requests (24 Hrs.): (503) 639 -4175 ` ` a-y INSPECTION WORKSHEET FOR DATE: G/{( / TIME: PAGE: [[ ( So SITE ADDRESS: 1),49 4W 124 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: g tO _ `1 l4) PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # In pection Description Confirm # Contact # Message o5tei -7--e7 f 3 3/4 -2-7e Corrections /Comments/ Instructions: • I tzt PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: /‘ 0 Phone #: (503) 718-