Permit ITS OF TIGARD MASTER PERMIT
°` t' y PERMIT #: PERM
11 IT COMMUNITY DEVELOPMENT DATE ISSUED: 8/16/2007 7 -00150
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S109AB - 08700
SITE ADDRESS: 14205 SW 131ST PL ZONING: R -7
SUBDIVISION: RAVEN RIDGE LOT: 016 JURISDICTION: TIG
PROJECT: HAMBERGER
Project Description: Convert garage mezzanine storage to office space.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 300 sf BASEMENT: sf LEFT: SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 300.00
OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 300 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
MIKE HAMBERGER SONRISE FINISHING & REMODELING laws All work will be done in accordance with approved plans. This
14205 SW 131ST PL 6405 SW 154TH PL permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 BEAVERTON, OR 97007 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 of these rules or direct
Phone: Contact #: PRI 503 - 810 - 1417 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 149594
TOTAL FEES: $ 404.93
REQUIRED ITEMS AND REPORTS
( Issued By : . j 1( Perm Signature : � I / /
r
_--- 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 Application
r,-
Residentia " . ' FOR OFFICE USE ONLY.
r ° R eceived ::::: , L )../.--A0,9 ``�
Cy a r ' DateB � 7 ���`J
III 13125 it of SW Hall Tig Blvd . d , Ti OR 972 • �y Plan Review • C $ 8 • • U
Phone: 503. Fax: 503.598.1960 1 Date /B : �_
TI GAR D
Inspection Line: 503.639.4175 AUG 6 2007 J uris
p A U `� Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov Notified /Method: Supplemental Information
CITY O HOARD
TYPE OF 45 e iN1'` DPAGON REQUIRED DATA: 1- AND 2= FAMILY DWELLING
El New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1 - and 2-family dwelling Valuation: $ / / t D
y g ❑ C ommercial /industrial
El Accessory building El Multi-family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
JOB SITE INFORMATION AND 'LOCATION • Total number of floors:
Job site address: / . Z 05 -.... 5 - T &- 4 G& New dwelling area: 3 0 -( j square feet
City /State /ZIP: f 6A-a- OK 17L Z q Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION. OF WORK work indicated on this application.
57 Z.:2_ d 6-e- 44.-e . A 1 t vic-Ld 5-6 Tu. Valuation: $
it._.? QFF7 c Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT • . Number of stories:
Name: /19l /c /,4, 56_,/z. ( -Q Type of construction:
Address: / YZ$ 5- tJ I / sr 771--194 Occupancy groups:
City /State /ZIP: 12 6:R4 7 a_ c77 Z Z Y Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON -
. NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: 7,,j 12-45E, h +n.N H /AU(Y I LFA.) (r BUILDING PERMIT FEES*
Address: (, yos- 51),) 15e/T pi_ (Please refer to fee schedul •
Structural plan review fee (or deposit):
City /State /ZIP: 'EtA Jjy) OZ 7 7
r FLS plan review fee (if applicable):
Phone: ( vo - / S// 7 Fax: ( )
al Total fees due upon application:
CCB lie.: �y9 j (�
A Amount received:
Authorized signature: �O<�� i� a,� This permit application expires if a permit is not obtained
`/ within 180 days after it has been accepted as complete.
Print name: doe e L . N42/7/v(41 f Date: /5 .,.9 ey7 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02/COM /WEB)
Building Permit Application Checklist , 11.
One- and Two - Family Dwelling FOR :OFFICE LSE ONLY'
.. - Received r - City of Tigard 9 s Date
/By: Permit No.:
q 13125 SW Hall Blvd., Tigar 97223 , . )A B i Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard - or.gov ❑ Other:
' THE .FOLLOWING ITEMS ARE REQUIRED FORFPLANREVIEW Yes No ° N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El El
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ Cl
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS .
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ Cl
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.
I: \ Building \Perrnits\BUP- RES- PerniitApp.doc 03/21/06 440- 4613T(I I /02 /COM/WEB)
Electrical Permit Application) OFFICE O F
�� FIC USE ONLY
1 . Received 111
9 City of Tigard r/ Date /By: i LI Permit No.: ts-1 ,1 2 7 ev6- -6
. ° 13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 6 7007 Plan Review
' ' Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TI GAR;D Inspection Line: 503.639.4175 CITY OOf rIGARD Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK DIVISION PLAN REVIEW
❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ 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 ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
NI- 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
9 7 { 1 OOHP or more. occupancy.
Job no.: Job site address:
//G 5k /3/ s� RAC G ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: -176 Ag v i 02 . 1 z-z-q ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: /1/4'01 3hi /e0ir "� ❑ Service or feeder 600 amps or more.
° J .FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I *
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.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
:DESCRIP,TION OF WORK (with above sq. ft.)
Limited energy, multi- family 75.00 2
' e- & 1116z L&..)& 5 A J c 1-05 Q residential (with above sq. ft.)
FOR— C� Services or feeders installation, alteration, and/or relocation
FE ( az. 200 amps or less 80.30 2
❑ PROPERTY OWNER ' ❑ TENANT 201 amps to 400 amps 106.85 2
- 1, . tfj / 66-/26-[-)-A �� 401 amps to 600 amps 160.60 2
`n1
Name: i � f 7
601 amps to 1,000 amps 240.60 2
Address: /11 jCJ /31 ST p1.4 LL Over 1,000 amps or volts 454.65 2
City/State /ZIP: p , 11+ 1 Z Z, t./ Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 46.85 2
Contact name: first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) 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: "rj? lL C7 / N'1 / C energy panel, alteration, or
Address: 7 ..5". 62 yt p/ Pi
extension. Describe: Page 2 2
City /State /ZIP: �„f / 97,' Z-- .j Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( eS' v $" Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: /72-64 Electrical Licy S' Suprv. Lic.4y /35 Industrial plant per hour 73.75
, I ELECTR PERMIT FEES
Stpi. • He' � � �I'
L a 4 - : , ires. ` Subtotal:
` Plan review (25% of permit fee):
Print name: Date:
� ? 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: C / _-J 5� yr Date:
� days after it has been accepted as complete.
* Number of inspections allowed per permit.
C\ BuildingU 'ermits \ELC- PermitApp.doc 05/23/06 440 4615T(I I /OS /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:
n Audio and Stereo Systems*
n Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I. \Building\Permits\ELC- PermitApp doc 03/23/06
Mechanical Permit Application i / FOR OFFICE USE -ONLY . -
R eceived i
G-1 '° City Of Tigard 10) i� , l Permit No.: h/ I I M ° 13125 SW Hall Blvd., Tigard, OR 912 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
T I G A RU Inspection Line: 503.639 AUG 1 2007 Date Ready /By: Jur ® See Page 2 for
Internet: www.tigard- or.gov Notified /Method: Supplemental Information
CITY (* TiltD
RFC �, l
TYPE OF I ` t ° jt COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction El Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTIO N Value: $
1- 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
,� y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ! c./1D 5 - 51.0 /3 / s Air conditioning ho or heat pump
nL/Q't!�i (requires site plan showing placement) 14.00
City /State /ZIP: -7 6 A�2 n tJ t 2 -7 . q f Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: "to_ 9m 5.5
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
L L Gas fireplace 10.00
b),7 t)O , 4T bt)G� C-rJ - (fGt/C- 5 9C6 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER El TENANT Chimney /liner /flue /vent .10.00
Other: 10.00
Name: diet. ;4.97432, -.t0 Environmental exhaust and ventilation
Address: /S/ / S) /3/ 5 ' f �e Range hood /other kitchen
equipment 10.00
City /State /ZIP: -7764-*12-r) O2 / 7 ZZ y Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (563) 70 Y _ Za 43 g Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT . ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc
Gas heat pump
City /State /ZIP: _ Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: _ z..,. . 741 t 5O u se .1a5/fx,06-- ,l� O dryer (gas)
]] Other:
Address: 6 ,5 /5 -97 -.9- ft . MECHANICAL PERMIT FEES*
City /State /ZIP: ,23f f -L 04- - Y'7QO 7 Subtotal
/ Minimum permit fee ($72.50)
Phone: (03 ) ' /t7 _ /1/4 7 Fax: ( ) Plan review (25% of permit fee)
CCB lie.: /1/9 J !. 9 e / / State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: !�` � �'�' ` �� �(�.. -�_- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: L. L, /5/.9- 2,)/y/4-t/ Date: / $,9)e$ e / 7 * Fee methodology set by Tri- County Building Industry Service Board
1.\ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (1 l /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.
1:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY O TIGARD
BUILDING' DIVISION PERMIT #: aDD7 /512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '._..
INSPECTION WORKSHEET FOR DATE: 0/ d 7 TIME: PAGE:
SITE ADDRESS: / �j il/ /3/S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT
DESCRIPTION: TION: /Rj/ 47 e tALC
OWNER: 44 , 4 6 PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
194 nom' sb3 -5Aw ^637
Corrections /Comments /Instr
FILE L . COPY
��n vw-- f D ,44;_a,—
71141-7 MIM l9 a wi- "1,06,4
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL ❑ C ° LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4141re 6 ( ' 1 /D7Phone Inspector: / Date: #: (503) 718-
4 �ti r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00150
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2007
Phone: (503) 639 -4171 mµ'4 @�1�ilf�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'
INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 14205 SW 131ST PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 016 TYPE OF USE:
PROJECT NAME: HAMBERGER
DESCRIPTION: Convert garage mezzanine storage to office space.
OWNER: HAMBERGER, MIKE PHONE #:
CONTRACTOR: SONRISE FINISHING & REMODELING PHONE #: 503
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054226-02 503 -704 -2088 N
Corrections /Comments /Instructions: IL E COPY
re-
r
//'
/_4 .! '
•
(PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
10 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �1 Sb � Date: /27 Phone : 503 , #: � ) 718-
CITY OF TIGARD ,,// vtA BUILDING`DIVrSION n PERMIT #: MST2007- 00150
13125 SW Hall Blvd., Tigard, OR 97223 X3 /, � DATE ISSUED: 81/6/2007
Phone: (503) 639- 4171��Ipu�ii'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 -•:_�
INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 14 205 SW 131ST PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 016 TYPE OF USE:
PROJECT NAME: HAMBERGER
DESCRIPTION: Convert garage mezzanine storage to office space.
OWNER: HAMBERGER, MIKE PHONE #:
CONTRACTOR: SONRISE FINISHING & REMODELING PHONE #: 503 - 618 147
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 054228 -03 503 - 704 -2088 N
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Corrections /Comments /Instructions: FILE COPY
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n PASS P ARTIAL APPROVAL ❑ CANCEL n NO ACCESS
[FAIL XCALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
A zi , Inspector: Date: Oild7Phone #: (503) 718-
CITY OF TIGARD
BUILDING "DIVISION PERMIT #: h+iST 007 -0D15Q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81'1612007
Phone: (503) 639 -4171 UaNprq�f�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 33
SITE ADDRESS: 14205 SW 131ST PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 016 TYPE OF USE:
PROJECT NAME: HAMBERGER
DESCRIPTION: Convert garage mezzanine storage to office space.
OWNER: HAMBERGER, MIKE PHONE #:
CONTRACTOR: SONRISE FINISHING & REMODELING PHONE #: 503.810-1417
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054226.01 503 - 704 -2088 N
Corrections /Comments /Instructions: FILE COPY
i'v 151
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PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector; Date: 5// Phone #: (503) 718-