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Permit
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • • If .- T I GARD June 25, 2008 Stefan Alexander 12643 SW 135 Ave. Tigard, OR 97223 Re: Permit No. MST2007 -00142 Dear Mr. Alexander: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 12643 SW 135 Ave. Project Name: Potts Job No.: N/A Refund: ❑ Check # in the amount of $ . . ® Credit card "return" receipt in the amount of $240.00. ❑ Trust account "deposit" receipt in the amount of $ . Notes: Refund for overpayment of TIF- Resident fee. If you have any questions please contact me at 503.718.2430. Sincerely, M 1 A -10-1- e--- Dianna Howse • Building Division Services Coordinator Enc. I:\ Building\ Refunds\ Adminis tration\LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 1 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Reind form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Stefan Alexander DATE: 6/12/08 1264$ SW 135 Ave Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -4396 Case #: MST2007 -00142 Date: 9/28/07 Address /Parcel: 12643 SW 135th Ave Pay Method: Credit Card Project Name: Potts EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION:. . . • . Fee Description From Receipt Revenue Account No Refund Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $240.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager 4 - % %' •c: • If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board • • FOR TIDEMARK SYSTEM ADMINISTRATIONUSE ON Case Refund Processed: I Date: /..77W°P I By: I:\ Building \Refunds \RefundRequest.doc 05/23/07 .. =7 CITY OF TIGARD 6/24/2008 ' • Iii :' 13125 SW Ball Blvd. 4:15:53PM Tigard, OR 97223 503.639.4171 TIGARD. Refund Receipt #: 27200800000000002232 Aen./t = S Date: 06/24/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 - 00142 Reversal - [TIF - R] TIF Resider 210 0000 - 448001 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal . STEFAN ALEXANDER 01562B In Person (240.00) Refund Total: ($240.00) 4 1 O Z~" U, 0 0 H O V y N 61 ,.k b O ei 0 lit +. iii D i ee . 5 g L p o 0 t: 8 �• t • L`^ O y A ` � Q LI 0 H v y o C P4 a .n m A i-1, i2 A' , y O b 3 2 'd b os u a � � - ,Qf "C1 a A tx 2 a. V El cn oi A H r�. a eIrrcipl Page I of 17 11 CITY OF TIGARD 6 /11 /2008 ' • II 13125 SW Hall Blvd. 12:25: 1 Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004396 /6 L... Date: 09/28/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00142 [CDCPLN] CDC Pln Rev I00- 0000 - 433060 46.00 MST2007 -00142 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 6.00 MST2007 -00142 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 527.63 MST2007 -00142 [BUILD] Bldg Permit 245 -0000- 432000 1.965.59 MST2007 -00142 [TAX] Build 8% State Surchrg 100- 0000 - 207020 157.25 MST2007 -00142 [METCET] Metro Const Ekcisc Tx 245- 0000 - 229202 449.85 MST2007 -00142 [MECH] MEC Permit 245- 0000 - 431010 104.10 MST2007 -00142 [TAX] MEC 8 %, State Surcharge 100- 0000 - 207020 8.33 MST2007 -00142 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00142 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007 -00142 [ELPRMT] ELC Permit 220- 0000 - 431510 378.95 MST2007 -00142 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 30.32 MST2007 -00142 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00142 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00142 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00142 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 <-^-°- MST2007 -00142 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007- 00142 [ERPRMT] Erosion Control 100 - 0000 - 207307 112.00 • MST2007 -00142 [ERPLN] Erosn Phi Rv CWS 100- 0000 - 207308 36.40 MST2007 -00142 [EROSN] Erosn Pin Rv COT 245- 0000 - 433010 36.40 MST2007 -00142 [WQUAL] Water Quality 520- 0000- 445002 225.00 MST2007 -00142 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 Line Item Total: $13,122.74 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid CreditCard STEFAN ALEXANDER DEB 01562B In Person 13,122.74 Payment Total: $13,122.74 cRccopi.rpi Page I ol I CITY OF TIGARD MASTER PERMIT illi t�f O ♦ �' PERMIT #: M ST COMMUNITY DEVELOPMENT DATE ISSUED: 9/ 2007 00142 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104BD -10100 SITE ADDRESS: 12643 SW 135TH AVE ZONING: R -7 SUBDIVISION: ALEXANDER PARTITION LOT: 003 JURISDICTION: TIG PROJECT: POTTS Project Description: New SF. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 2,033 sf BASEMENT: 1,048 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 742 sf GARAGE: 390 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 2,775 sf 374,872 36 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: 1 SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 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 FOR: 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: 1 401 - 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 OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 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 # 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 DIANA POTTS & STEFAN ALEXANDER OWNER laws. All work will be done in accordance with approved plans. This 12645 SW 135TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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: 503 - 810 - 6225 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 13,872.74 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Is ed By : t ° � � i _L. _: ! g / Permittee Signature : Q . 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. Permit #:W4157 � lv'7 -tO/T Construction Contractors Board 700 Summer St NE Suite 300 Addr (p� 3 SW 136 t iti A , PO Box 14140 ■ L - :_lit em ,��� r., Sal OR 97309 -5052 Issu d by: Q�4�E%0 �- Date: ? � , Phone: 503 - 378 -4621 r> Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed 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 licensing 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 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. l!ltj 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ❑ 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR Mc 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed 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. 9 $ . gnature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) • Property_owner.doc 06 -01 -04 Acting as Y)ur twn .General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS • - ABOUT CONSTRUCTION RESPONSIBILITIES • NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own 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 concerns. Employer Responsibilities You will, in most instances,.be ruled to bean "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you ccust con with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, - call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: 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 503-947-1488. • The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.gov.. • • Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be red,one. Time: Make sure you have sufficient time to supervise your employees. . Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perfoi in the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doe 06 • , ■ fiIder�` Permit Appl ' r • � i ,c1;.;,, y:'1 � e. V9 K9F, Ic l. oi l 1 .ti • , : •, y aa � y ,, ., t � J ���� � ¢ P •t � � 1� N.I T ` i5' � ' •" .. r . , Y � , ".d .Y7 • 4 ,ta : 't, City of Tigard Receiv ,'I, / Permit ,a '' ` €d 1 312 5 r SW Hall Blvd., Tigard, OR 97 23, P R ! „29107_,_ ��� I l ^^ ill Other Pei ) / ��? :,L. .II ax, Phone: 503.639.4171 Fax: 50 j19 0U 2007 Date/B . a � ; (/ ' 't= ,, Y l Inspection Line: 503.639.4175 Date Ready/By: /uric: ® See Attached Checklist for ETIC,l gLD" g g CI OF Supplemental "� ,'!ts�" � =: Internet: www.ti and -or, ov Notified/Method: Su lemental Information BUILDING DIVISION — —_gy ` � `_ . .,. d.. t ..P'r; .•�. _�a ,N•F ,r <. �,,t�', n pu. • i . �n •3�. _ �y � � [ —, :ziz . ; ,A . NTI; '. 'Imp ; ,. 'a' ; "' TYP_ °WORK • :w :t; . • , ,'! ; •a.•r :: ...V REQUIRED ' D °1 AND 2'- FAMILY'D.WE ,:;,, M � — — ❑ Demolition Permit fees* are based on the value of the work performed. New const ruction Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the k ''' , i; - ' s " fi :' "+ �; work indicated on th application. ,,,,, ' .p ,... 4t :iaa, '`'. ' , * . : CATEG O RY . OR C ,ji?i ? } . , • „ c'' r � ,. ;' : i , — dwelling Valuation: S 3 t9 3 ?o t 1_ and 2-family g ❑ Commercial /industrial • ❑ Accessory building ❑ Multi- family Number of bedrooms: 5 ! ❑ Master builder ❑ Other: . Number of bathrooms: 3 L '. ,,, s` "i,::t ,.40 x: , 'JOB .' SITEt , INFORMATION . - LOCATIOIVI'% : ▪ , ` ?— �), ' :',kk Total number of floors: 2 „ ) .,,t ! g ar,, t� Job site address: 12 6 L � W 13.E Tr" A v - New dwelling area: ' square feet — y City /State /ZIP_ - . '722- Garage /carport area: 3 9' square feet Suiterbldg. /apt- no., (, Project name: Ai ex' - o44s R. , Covered porch area: ` 0 square feet u ( re>ss street /directions to job site: Deck area: © square feet I S � ) 3 J R _ -_ 11. Other structure area: 7 4 square feet .S ec o n .A t o+ M (1 r y.. US •„ E .,.. ; — i- REQUIRED DATAe 'COMD�E[LCIAL- UE�CHECKLIST• ;; Subdivision: Lot no.: 1 — 161Z1i(< Permit fees* are based on the value of the work performed. P "I Indicate the value (rounded to the nearest dollar) of all Tax ma / P arcel no _ equipment materials, labor, overhead, and the profit for the 'd5�, —'77,77-77-7-7•7' .,,l, }}.._. .. . .. -,- - , V 1;ys�. .. ., ,, k . , ",rr,;: ' ^ : ,44/:— ' � i ii — r. ',.P,',.; s '} 1 D .. .- ESCRIPTION OF WORK „ ,�.„ �t -,, .. „,,,,,;,..,_,,g _• ' ;h. °' work indicated on this application. S q 5i� s `f'I Q/1 8 p ,S � 1 I _ Valuation: S - -_ � Existing building area: square feet I New building area_ square feet - -A j ',4 ` PRO 1Y `, i•, +'';t "I= ,4° i�, TENANT,'.' " _ 4ri °. Number of stories: � TJat e: D � ❑ ' Type of construction: _�1._16� ME r _ /.l _ YP I /Address: _— I —Ate,. Occupancy groups: i City /State /ZIP: ' • —_ IG /i / 7 r / / Existing: Phone: (5 p3) ;” 0 - 6 ZZS Fax (spy ) �.J qO — q/66 New: -- __-- I APPLICANT b , R `'` ' , :, -- .! , Business name: All contractors and subcontractors are required to be Contact name: ! �� O+ d le (e licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the {— Address: 126115 S GO (3s A ve- jurisdiction in which work is being performed. If the City /State/ZIP: 1 Q r � Q f c 9 7Z2-5 apppplicant is exempt from licensing, the following reasons Phone: (503) ® &ZJ Fax: : (503)5' p. eV /60 E-mail: p I `. , . t ,',,:., °-:,,, ,_CONTRACTOR' ` ` ' 4;.Y `-:':,:4-.::::::27.::::;, -- - - Business name. O . . . Ii . r, - C i l• �t'"ir,- ,BUILDINGTPERMITFEES g., ■ F 1 26 41 5 j_��5 ,4�, ,ddress: a;<`� :. . : Meese re er e e scherlo e . '" , " -` " City /State/`LI 9 2 Structural p lan review fee (or deposit): , II. Sr -- ` ______I A Phone: 0 }) ; . � 5 Fax: c5 )5 o _ (a 4 l6 FLS plan review fee (if ap — CCB lie.: Total fees due upon application: i j , c - 0 Amount received: Authorized signature: —. _ . ` -- This permit application expires if a permit is not oi!taiaed , within 180 days after it has been accepted as complete. Print name: 'r 4r� r ` _I _ Date: : 0 • Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \PermitslBUY- RES- PermitApp.doc 03/21/06 440461 3T( I l /02/COM/WEB) • One- and Two- Family Dwelling '�•. ' Ju' Building Permit Application Checklist _ *'"I Oar OF F IGF, 1J!,L. 9 NILA= 'YIN . City of Tigard Received Permit No n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By M Phone: 503.639.4171 Fax: 503 598.1960 Associated permits: "'' 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑Mechanical TI GAttD :+ Internet: www.tigard- or.gov ❑ Other Y - '' TNEFOL`LOWIN,GIT S::f1It REQUI12 Eli FO 1'LAIV °IZEVIENV '' °° z f �e , w F � , �t , I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ _ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ _ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete, sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state Er ❑ ❑ 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 Dr there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -R 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 [1 ❑ ❑ and location. / 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, LEI ❑ ❑ 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. Er ❑ ❑ 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 [e ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered LY ❑ ❑ 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 EK ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. Er ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ B 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 E' ❑ ❑ architect licensed in Ore_on and shall be shown to be ...licable to the .ro'ect under review. IURI I:IONAC PECII ICS s i t : , r I , ' ` , 23 Five) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". Pil 0 0 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. 13' ❑ ❑ ;- 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. la ❑ ❑ / _ 27 "Drawn to scale" indicates standard architect or entineer scale. 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard E ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. [E ❑ ❑ , 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, 0 ❑ 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 \Budding \Permits \BUP- RES- PermitApp doc 0321/06 • Mechanical Permit Application , h f ..':' 4 .,: ' . ' ' . '.. ' ' 10 R 014 ICV.LISFONLY- ;i4f,•;-. City of Tigard RECEIVED Recei ved Date/By. Permit It.. ' " 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 i 0 2007 Date/By-. Other Permit: ,,m Inspection Line: 503.639.4175 ° AUG Date Ready/By: Ed See Page 2 for 4 Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: NM Supplemental Information ' ' . -. '' ''' ' • --- ' ' ''''''.-- • ' - - I ING:DIYJS1014,,, ,, . „, .. ..,, _ : :, 4:- .■,‘, - , '- '.4' 'A :.,,,,, '4 : -,IE:OF ! 1. .,"! .. > , ..':f,,,-.‘ - .,.:N„:!.,::k,l;' 4 7. ,:„..::: r 'COMI1ekEIRCIAL SCHEDULE,- ERULEH NI New construction 0 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 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. , ' 4,a , . . .., ,,,„ . , Value: $, .3/ 3 ,_5 , 7p 4 ::: - ):‘.fc:7..','' - -i;', RESIAENTIAL EQURNENTlSyS,TE114.§ FEES* 14 1 and 2 dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi 0 Master builder 0 Other: Description I Qty. Ea. Total JOB ., *17Ej0.11904pOST;.4iiiiii,,ixiciorioN,::::::; , ''.-: , ,,. i :' - , I :,:;^;Pf Heating/cooling Job site address: I 26 Li 3 50 1,3,5-4L 4ve Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 11;23 Fumace 100,000 BTU (ductcts/ves/vents) Y 14.00 14 100,000+ BTU (dunts) I 17.90 Suite/bldg./apt. no.: ii Project name: ) .e x ap i FEL R : Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 WCJA(J-1 135 $1 I/141y up 1-L2 M Hydronic hot water system Residential boiler (radiator or 14.00 hydronic) 14.00 3f,C1) 1,04- OA '41Al2, fi 4.1 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.: Other fuel appliances • '''." ''''''. - ' •• ' •': •• ''''--...‘ ''''. ' .' ',°.' "iikSeliIPTIOIY di. iiolik*".' - -q -, '-'4 . "; -‘ - !'-.' Water heater ) 10.00 )0 Gas fireplace k 10.00 10 . CnA54-ft)c-li on cf 5' ( 11. -F:trwi Aoseill'i iv Flue vent for water heater or gas fireplace .. J Log lighter (gas) - - 1 - - --- - 10.00 113- Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 ig - PIKCI1PERTY'',0*isiEli..iii,:i '' ' '>:'' : I- ' ''' ,'..:- ."‘ ' . '-'' ', '-''' '' Other: 10.00 Name: ric),11r Environmental exhaust and ventilation Address: )2.45L/5 31 ) 35 -44k A ve- Range hood/other kitchen equipment I 10.00 1 ..--,-7 City/State/Z1P: -f7 ,5„.01, 0 q 43 72 z Clothes dryer exhaust I 10.00 1 0 Single-duct exhaust (bathrooms, Phone: (50 xh 3 ) .00- 69215- Fax: (503 )59 0- 4 166 toilet compartments, utility rooms) XL° 6.80 . ' ''• -. :-• '. ' '': '' 01 APPLICANT : - -: .` .' ''''. ElociNTAti PERSON , :,:; , ; 7 „ . -':' Attidcrawlspace fans 1. I 10.00 1,f) usess name: i\I /4 Other: Fuel piping 10.00 Bin I Contact name: D i nA cc ?okk5 f (5+e Ale xt."Aer-- $5.40 for first four; $1.00 for each additional Address: " 126'15 St,,) 135*k ,4 ve - Furnace, etc. 5 Gas heat pump i - Z t io 5 , z Cit r i.gar j / 0 3 Wall/suspended/unit heater Phone: ( d ._ 6 , 775 - Fax: : 559 Li I 64 Water heater ( 5; --Te- Fireplace 1 E-mail. o 4-4-5 a ep q erEL Range i c. a sria - • •. ' .•:,:L. ....;,,,,,.;:,, ,„ , - CONTRACTOR • - 7 --,,,:..• ' • :,.:-- . ' Barbecue Business name: 0(A)N24- loui taw- tua (A3 c, VI ..z 7- Clothes dryer (gas) Other: Address: 26 L7/5 3 t ) 35 'k - -k A ,_ _... . , :,:.,,,.:, ,-,.- 7,.,mcc4,6iic kEES,.:„. ,,;..,.,,,„, , City/State/ZIP: ; c alsk le- c 7 .2-2 3 subtotal 1ok0 Minimum permit fee ($72.50) Phone: (503) 0 - 6. ..- Fax: (50 ) 3 - z - / / 6 _ Plan review (25% of permit fee) . CCB lic.: AI/A State surcharge (8% of permit fee) TOTAL PERMIT FEE Authoriz ed signature: This permit application expires if a permit is not obtained within i80 days after it has been accepted as complete. f■ Print name: 5 A I .a.Aei.j- Date i e / 9 / 07 • Fee methodology set by Tri-County Building Industry Service Board 1: \ BuildingWermits \MEC-PermitApp.doc 04/06/06 440-4617T (I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation PermittFee $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:\BuildingTermits\MEC-PermitApp.doc 12/30/05 2 Plumbing Permit Application R EC E I V E ! ' :' FOR OFF tt VSE, oNLY : . '\ ,,40 5" C ity of Tigard Received Permit Vi I "d 13125 SW Hall Blvd., Tigard, OR 97223 AUG + 1 Date/By: : 0,.. 0 • Z U U ` 0 U I Plan Review • ; ;:'. Phone: 503.639.4171 Fax: 503.598.1960 a Date/By: Other Permit No.: T�tiGARD Inspection Line: 503.639.4175 CITY OF TIGARC Date Ready/By: ® See Page 2 for r ,�yf .,' Internet: www.tigard -or gov Notified/Method: C� Supplemental Information :. BUILDING DIVISION- , TYPE OF • WO RK , . � ''•'' f . •... FEE* SCHiDULE -1 :: ,.,•'' ,�_ ;. (f New construction ❑Demolition For special information use checklist Description I Qty. Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New SFR (1) 1 - 2 - family bath dwellings (includes 100 ft. for each utility connection) :• CATEGORY OF CONSTRUCTION ' 249.20 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3 bath I 399.00 3 79. 00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 • - JOB SI TE INFORMATION AND LOCATION j''i'., ' ; - , S ite utilities Job site address: I 2 143 JW 1351-4k_ Ave., Catch basin or area drain 16.60 I I City /State /ZIP: DR 97223 {� Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no .j 1 Project name: Alexa, ec /f v%5 ( s004(w Footing dram (no. linear ft.: J/ Page 2 ; TV Manufactured home utilities 11000 Cross street /directions to job site: J l/� Manholes 16 60 - Al (� 1� ( j S �`� U ( � ilp , (/�j !/1, Rain drain connector I 16.60 (G, ,(cam . 5e-C L A+ hn -14•11--/ 1' _(/ r - 1 Sanitary sewer (no. linear ft.: i 5() , Page 2 10/, t-/ 0 Storm sewer (no. linear ft.: Jj ( Page 2-pt� Subdivision: Lot no.: Fixture or item Water service (no. linear ft.: ( Page 2 ( ' Tax map /parcel no.: Absorption valve 16.60 - DESCRIPTION OF WORK'" . Backflow preventer / Page 2 ' fL, 0 i 4 , .. I /cP ' i r Backwater valve 16.60 Clothes washer / 16.60 .\ to Dishwasher / 16.60 ,, //-O- - Drinking fountain 16.60 PROPERTY „OWNER '' ❑ T ..' L C f Ejectors /sump 16 60 Name: �_f1k- � G e Expansion tank ' 044 (-5 - F ,� ,4kXa - 16.60 Address: (26,z15-- 5) 13 S . A Fixture /sewer cap 16.60 City /State /ZIP: i /,1 0 I. 22 Floor drain/floor sink/hub 16.60 Phone: (503 ) g 5- 6, 25 Fax: (5 5 9 063 Garbage disposal / 16.60 0 () " - . APPLICANT 0 CONTACT PERSON Hose bib ;. 16.60 Ice maker 16.60 Business name: PA Interceptor /grease trap 16.60 Contact name: 9 ian,, (26 4fs 5+,1, 4lexam.er Medical gas (value: $ ) Page 2 Address: 126L(5 s ) 135 Ave, Primer 16.60 City /State /ZIP: j ard\ ,f \ 9 72 23' Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 -.. Phone: (5b ) Fax: : (503)370- C1 � II ,, f Tub /shower /shower pan 16.60 ,5- • E -mail: va sck O k t& �N ( Urinal 16.60 CONTRACTOR Water closet 3 16.60' Business name: A//A LJ f -,bvilaair Water heater / 16.60 __ Address: 12655 J' ) )3.C AYR- Other: Ti t /� � Subtotal 1 4, A - 6--- City /State /ZIP: " n r` p a V Minimum permit fee: $72.50 Phone: ( 53) � _ /62_2 Fax: ($3) _510_ L/ /6 to Residential backflow minimum permit fee: $36.25 CCB Lic.: r1 J //1 Plumbing Lic. no.: � %. Plan review (25 %ofpermit fee) V_I-,... �W,� State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE 1 r Print name: 5 Date: e This permit application expires if a permit is not obtained within"'"- ' '� ! Alt x Cldl �� /07 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i.\Building\Permits\PLM- PermitApp.doc 12/27/06 4404616T(10 /O2/COM/WEB) r C q ff11 ( 0 0 ' l a Plumbing Permit Application - City of Tigard_ Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site .t., Qty . Fee (ea) Total - Footage: `a.:� ' P Fee: • Footing drain - l' 100' 55.00 5 S 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 5'S 7,201 and greater $309.00 Sewer - each additional 100' I 46.40 /p{ Water Service - 1st 100' 55.00 s s Medical Gas Systems: Water Service - each additional 100' [ 46.40 1 100 �t Valuation:��,.��;'�:�"�;• Permit Fee:'.' >:' " <; ; °- Storm & Rain Drain - 1st 100' ( 55.00 5-5 $ 1 00 to $5,000 00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' I 46.40 Li 6 L V $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each "; . Q ; Fe (ea) Total additional $100.00 or fraction thereof, to and Fixture or Item t'.'.. „ -. .- = . , ` ty. 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 . Z. b's each additional $100.00 or fraction thereof, to (minimum permit fee $36 25) 3 27 55 <c:= -, r;% 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 f irst 00. Subtotal: $50 and up $742.00 for the e first $550,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", _' Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. j Quantity by (Fixture) Work Performed' ❑ Any new commercial building with water service 2" and Fixture` Type:; - ;` °;` „; "; "` ' "�. ,:..�:4 �;: •- . . , ',c Replace . greater, except systems designed and stamped by licensed • Previous . Capped - Added " Existing B engineer. Shower ❑ New exterior plumbing site utilities for any complex structure Bath Baptistry/Font -Tub/Shower as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. • Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram • Floor Drain /sink - 2” ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil ,parator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory *Note: If the fixture work under this permit results in an - Bradley - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i.\ Building \Permits\PL.M- PermfApp.doc 12/27/06 . , ' . EleKtrical Permit Applicat?M ECEIVED --:.-- ,, : , 6 .,„?:-:: ,.) .., . - 4. t,,,ri .,t, r.■ a: -. ': .,',' ■*; '''..• l '.. ' ' V. ' . ' ■ ' . - ': '-' ' ' `'''''-' ' ! ':''''''' '61 .'"'.;4 .4 ' . :: 1 4 ' : ' , '''.''''. OR Sj E FICEI1SE:Oilsys-' ,.,.,, •,„; . ''.. `' ', - Y::''',1' ,' r-%:,.; i 1 ...., ,'.. ,,- ;-.""s`1 ., , ;;., : - 'v.-, ',-,'- - ':,'l" , -:, 4 '%' .. ' ' . ''',.. ,:".'!', !•44 s": • Nf-,....4 City of Tigard Received . , 1312 SW vTigard OR 9721 0 A • 4 rioli .4 ..ltro.e." Permit No A N ; i 0 a Phone: 503.639.4171 Fax: 503.598.1 . ,,,,,, ■,- . ,1 5 Hall Bld., , 1 " yG 10 2007 Plan Review ' Other Permit n !i,l' ,, •,. q., A Date/B . lkirat4.6 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. iii ' - ...... _...., 10 See Page 2 for lt,;;. Internet: www.tigard-or.gov Notified/Method: 111 Er Supplemental Information BUILDING,DIVISION , • „ . . ,. - .-- - „ - - 7, , iivEtkz 7i :',n, .A:Vr,'''1'..;'' 'RE.Vrt*,..;::.-''.., :: ! :- -:, ' 9 New construction 0 Addition/alteration/replacement Please check all that apply (submit a sets of plans w/items checked below): .1. 0 Service or feeder 400 amps or more 0 Building over three stories. iI1 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. : ''' '''''. '.. ' • ' ,-;:eATkoziki:,6F'COr■istatie*iiii'-;.:.'';,;?'::".1,:i.T• exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural - 01 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or • - - 0 Emergency system. larger separately derived system. • ',:-•,, ';„,, • 'JOB' SITE INFORMATION:AND LOCATION ;„:- -,•;••;-,• l• -,,,-",...'; •••-,. at0 Addition of new motor load of Job no.: Job site address: I 264/3 5 t 05-414 4 0 100HP or more. Six or more residential units. 0 occupancy. Recreational vehicle parks. City/State/ZIP: 1 - jar r) l 0 ( 9 72• 2 - 3 0 Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. . Suite/bldg./apt. no.: :15er/ice or feeder 600 amps or more. Project name: An c ' , 1 9 4 , 5 0 1 ,0 , . , .01(`; FEE 'SCHEDULE ..-",'':4,''' .;i2' , si, • Cross street/directions to job site: Description L2 . Fee. tL_I_Total _ New residential single- or multi-family dwelling unit. .. 'W Includes attached garage. • 5 .. L Subdivision: Lot no.: 1,000 sq. ft. or less 1 145.15 I45, 1 . 5 4 Ea. add'I 500 sq. ft. or portion 7 33.40 7/7,80 1 Tax map/parcel no.: Limited energy, residential • . • " .. "I • •' : ,.•;: 7 • ' `..1=,•':. ritscitipTioN".0Fiyvotik:,1,.;';','!;::; ''' (with above sq. ft.) I 75.00 7 5;to 2 Limited energy, multi-family " 4A) estollt12/3 - 51.1r_F9 ck65 v residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or re1 tki4.7 4,c 200 amps or less 4_,_- 80.30 2 a . . PliO 11 E ini *AR '': .,',, . 1 '' AT ''' ''''' 0 T EN ANf '' , i ' f : . ' ''.:4' '' i 201 amps to 400 amps 106.85 l• ' . - Nam '. e: . ' • . 401 amps to 600 amps • 160.60 Address: I 2115 c ij 135 1 1 - A 601 amps to 1,000 amps 240.60 2 I 4 , live_ Over 1,000 amps or volts 454.65 2 (2 / r .......- Temporary services or feeders installation, alteration, and/or ! City/State/Z1P: 1 .- cc -A 0- `172-2-_3 oc relation F a x : ( 543 ) 5- q - 4 /4 200 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, rer t. exchange, according o ORS 447, 449, 670, and 701. 401 amps 10 599 amps 133.75 2 Branc branch -- F Owner signature: egt" 664er" Date: 61 -7- h circuits - new, lten, or e tension, per pane A. Fee for circuits a with ratio pane APPLICANT-•` ; 7% 13 ; CONTACT PERSON .. .., ,-:%'? above service or feeder fee, . • ,. .., _.. 6.65 2 , . . Business name: MA OAir 11--iLlar B. each branch circuit Fee for branch circuits without service or feeder fee, Contact name: D a A t 9 ‘ C F6) -k--4 S S-1- L A leo(4.iver first branch circuit 46.85 2 Address: 17-045 ,5-1) 130 Ave_ Each add'I branch circuit 6.65 1-2 --• Miscellaneous (service or feeder not included) City/State/ZIP: yeu Or._ 9?-2-2-3 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (5 g to -. (a 7,2,5 Fax: : ( 5- 5q0 L ( (0 I,, Reconnect only 66.85 2 E FD4H a 02 0t-t sc.), , e Pump or irrigation circle 53.40 2 . ' . ••••:.." ' ', ..-. ,::.' .:''''I' • , : ■' -.-'e ONTRACTOle 1•.•2: -. -4,; , I. , f'• • , ":..'•,i,' Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name: - 3/ f Ot \ QS bUl(d■Ol energy panel, alteration, or • Address: cWove- extension. Describe: Page 2 2 Sa 61-5 Cit Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 _ CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ••:..•' "...ELECTRICAL' PERMIT. FEES '','... -- - f .' • • .: • Suprv. Electrician signature, required: ' Subtotal: - 371:25. Print name Date: Plan review (25% of permit fee): : State surcharge (8% of permit fee): ..._ mi, 7L( Authorized signature: TOTAL PERMIT FEE: 7 ... - This permit application expires if a permit is not obtained oithin 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(I I/05/COWWEB Electrical Permit Application - City of Tigard . . . . Page 2 Supplemental Information LIMITED ENERGY PERMIT FEES: Ati8'.$ralENff4LT'CSYTCjk Fee for all residential systems combined $75.00 Check Type of Work Involved: EV Audio and Stereo Systems* 2 / Burglar Alarm EV - Garage Door Opener* Heating, Ventilation and Air Conditioning System* UK El Vacuum Systems* .1 Other t0S Fee for each commercial $75.00 system (SEE OAR 918-260-260) Check Type of Work Involved: El Audio and Stereo Systems III Boiler Controls O Clock Systems D Data Telecommunication Installation [] Fire Alarm Installation O HVAC 111 Instrumentation [II Intercom and Paging Systems 0 Landscape Irrigation Control* D Medical O Nurse Calls 1:1 Outdoor Landscape Lighting* O Protective Signaling • 0 Other Total, number of commercial systems: - *No licenses are required. Licenses are required I& all other installations 1:\BuildingTermits\ELC-PernutApp.doc 03/23/06 . A 03/24/2008 14:56 Page 1/1 • CITY OF TIGARD RECE W D ._ COMMUNITY DEVELOPMENT MAR 2 4 *U08 r r c , : \ . i_ 13125 SIN Hail Blvd., Tigard, OR 97223, 603.6394171 CITY OF fIGARD BUILDING DIVISION Electrical Signature Form IMPORTANT PERMIT NOTICE ACCORD ELECTRIC PO BOX 66157 PORTLAND, OR 97290 Permit#: MST2007 -00142 Date Issued: $12812007 Parcel: 2S 104BD-10100 Site.Address: 12643 SW 135TH AVE Subdivision: ALEXANDER PARTITION Lot: 003 Jurisdiction TIG Zoning: R -7 Project Name: POTTS Description: New SF. Your company has been indicated as the electrical contractor for the permit referenced 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, Please mail the form to: 'City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, oryou may fax the form to: 54649994: if you.have any questions please cai1.503 718.2433. 7) -59q- /940 No electrical inspectiorts.will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DIANA POTTS & STEFAN ALEXANDER ACCORD ELECTRIC 12645 SW'135TH AVE PO BOX 66167 TIGARD, OR. 97753 PORTLAND, OR 97290 Phone*: 503-8104225 Phone #: 503-830 -2118 Reg #: ELE 26.1179C, LIC 157176 SUP 4995S AN INK SIGNATURE IS REQUIRED ON THIS FORM X 'ht._ L•©r error ��tq5� Signature of Supervising Electrician Name (printed) SUP LIC # City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 T ,, BARD. • June 25, 2008 Stefan Alexander 12643 SW 135 Ave. Tigard, OR 97223 Re: Permit No. MST2007 -00142 Dear Mr. Alexander: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 12643 SW 135t Ave. Project Name: Potts Job No.: N/A Refund: n Check # in the amount of $ ® Credit card "return" receipt in the amount of $240.00. n Trust account "deposit" receipt in the amount of $ Notes: Refund for overpayment of TIF- Resident fee. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 a City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit .4 ction or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Stefan Alexander DATE: 6/12/08 12643 SW 135 Ave Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -4396 Case #: MST2007 -00142 Date: 9/28/07 Address /Parcel: 12643 SW 135th Ave Pay Method: Credit Card Project Name: Potts EXPLANATION: Refund overpayment of TIF -R fees RE'F'i7ND.,IiVEORMAT.'IO �';� r: 'Feef'Descnphon:From`,R'ece�pt • ' Re'venuetAecount`No: Refund`:: Exam `'1'e:, UILD, `Permit F -'Exam l - �.. ••_... P ... >.`�..,. .._...]...... ��'''�'" ..:: '° , , t e 245 -00,00 '4320Q0?��-'...'� � $ Arr► a pe. [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $240.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board ;..,,..':=� -. ;;_:' :";._';: °;; �:. EOR'. T' IDEMARK•SYSTEIVhADNIIN'ISTRATIO_ N�.USE'.O1VL�''`. � - _ Case Refund Processed: Date: ef/2.p: / - -,j=° By: 6' r I'\ Building \ Refunds \RefundRequest.doc 05/23/07 I "' rs `: C OF TIGARD 611/200$ i.4-7.4% 9G '.its, . m 3' 131225SWW Hall Blvd. 12:25:12PM t .. Tigard, OR 97223 503.639.4171 Receipt #: 27200700000000004396 ‘,712/6,74_ -74_ Date: 09/28/2007 Line Items: Case No Trail Code Description Revenue Account No Amount Paid MST2007 -00142 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00142 [LRPF] LR Planning Surcharge 100-0000-438050 6.00 MST2007 -00142 [BUPPLN] Pln Rv Balance 245-0000-433000 527.63 MST2007 -00142 [BUILD] Bldg Permit 245- 0000 - 432000 1,965.59 MST2007 -00142 [TAX] Build 8% State Surchrg 100- 0000 - 207020 157.25 MST2007 -00142 [METCET] Metro Const Excise Tx 245- 0000 - 229202 449.85 MST2007 -00142 [MECH] MEC Permit 245- 0000 - 431010 104.10 MST2007 -00142 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 5 33 MST2007 -00142 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00142 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007 -00142 [ELPRMMIT] ELC Permit 220- 0000 - 431510 378.95 MST2007 -00142 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 30.32 MST2007 -00142 [ ERPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00142 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00142 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00142 [TIF -R] TIF Resident 210-0000-448001 3,200.00 -- - MST2007 -00142 [TIF -MT] T1F Mass Tr 210-0000-448005 240.00 MST2007 -00142 [ERPRMT] Erosion Control 100 -0000 -207307 1 12.00 MST2007 -00142 [ERPLN] Erosn Pln Rv CWS 100-0000-207308 36.40 MST2007-00 142 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 36.40 MST2007 -00142 [WQUAL] Water Quality 520- 0000 - 445002 2 25.00 MST2007 -00142 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 Line Item Total: $13,122.74 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid CreditCard STEFAN ALEXANDER DEB 01562B hi Person 13,122.74 Payment Total: $13,122.74 JRcrcIpi.ipi Page: I of I A September 21, 2007 RE: NEW SINGLE FAMILY HOME Project Information Building Permit: MST2007 -00142 Construction Type: VN Address: 12643 SW 135t Ave. Occupancy Type: R -3 Area: 3823 sq. ft. Stories: 2 The Ian review was performed under the 2005 Oregon Residential Specialty Code the review of the bmitted plans will be completed when the following information is provided. The plan shows I joists being used, provide the manufacturer's layout for the floor framing, and beam calculations. Response: See I -joist layout. SPONSE NOT ACCEPTED. Only one main floor framing page provided. Two are • quired. • The foundation on sheet 2 doesn't differentiate between the areas of the footing supporting one and two stories. Either show on the foundation plan which sections are one, and which are two story footings; or size them all for two story footings. Response: See revised detail D page 2. We are using the two story footing in all locations. RESPONSE PARTIALLY ACCEPTED. Detail D is revised. The rest of the foundation showing 6x12 footings have not been revised. 3 Provide a typical footing detail for the perimeter footing at the slab edge, and the perimeter of the crawl area. Response: See detail E page 2. RESPONSE NOT ACCEPTED. Detail E must SHOW the slab edge insulation as it will be installed, and the flashing used to protect it. Detail E also shows option widths for different number of stories, revise. 4. On page 2, detail A refers to inadequate damp - proofing. Submit a detail of how the waterproofing called for in R406.2 will be provided at foundation walls retaining earth and enclosing habitable or usable space. Response: See detail A page 2. RESPONSE PARTIALLY ACCEPTED. Foundation page shows footing F54, this footing is not included in the footing schedule. • • • ed at 6 feet with a load of 933 pounds, the girder truss load is 4573 pounds . na .t 20 feet. Recalculate the loads on this beam and the footings, and sub a revision. Response: RESPONSE NOT ACCEPTED. 6. When responding, provide an itemized letter stating in what way each issue has been addressed in the revision. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, Loraine Sellers Plans Examiner loraine @tigard - or.gov Phone: 503.718.2708 Fax: 503.624.3681 • ECERIED Diana Potts & Stefan Alexander �' E 12645 SW 135 Ave � ��+����� Tigard; OR 97223 OF rIGp4D 503 590 -4063 BUILDI ieDIVls, ®P► September 11, 2007 Loraine Sellers Plans Examiner City of Tigard Building Division Loraine, The following items noted in your letter dated 9/4/7 have been addressed as noted below. The item numbers correspond with the numbers on your letter. 1. See I-joist layout — QrnS? • '- 4. ... Irovi • ! (1 w ► •_ _ . s . _ _ — -- Zi. re b t r vi itt ? 2. See revised detai D page 2. We are using the two story footings in all locations. ,`J tJ _N I • lair► '61„d s (nk (a -: r.er% c X10.�p 3. Se: Detail E page 2 %ab .edc lrukPc, `ate- °AIDA E c* S 4. See Detail page 2 r I/ 2 3 r3 5. See iaeau a Beam Calculation. We have also revised the roof plan to match the truss layout. �141)-- 1 F NOM Shov35 Fsi{- _ .fin • ‘n f'04a -irks Please contact me if you have any additional questions or concerns. Thank you, t - RI Diana Potts CITY OF.TIGARD ). BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8.28/2007 Phone: (503) 639 -4171 i t °�olool Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME: 7:01AM PAGE: 1 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTI S DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 069367-01 5031310 -6247 N Corrections /Comments /Instructions: PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS I I FAIL f] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S S o S Phone #: (503) 718 - - Z1-44--b ' - - -_-_-__-�. . ��U�~�� ������U�������� ^ ��nn � OF wn����n��� le . .` BUILDING DIVISION PERMIT �UO7 | ~�~°^~~~~^^~~~ ~~^~^~°"~°"~ #: ',"^' - DO14% | 13125SVV Hall 8|vd.. Tigard, OR07223 DATE ISSUED: 91213/2007 Phone: (503) 639-4171 Inspection Requests 4Hnoj:(5O3)G30'4175 .� ��`-J.. INSPECTION WORKSHEET FOR DATE: 4/21/2O0O TIME: 7:00AM PAGE: 1 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA Purrs & STEFAN ALEXANDER, PHONE #: 503-810 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4K210008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 088679-01 503-8146247 N Corrections/Comments/Instructions: / ��� '� � . � � � ^ � �� 47 _' ---)/"."-- — �� � ^� . . - E] PASS ,p P^RTNLAPPRO\AL 7 CANCEL III NO ACCESS . [i FAIL 7 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: A, Date: 4--ti- & Phone #: (503) 718- ~-Z.9-4-�~ , CITY OF TIGARD (7 , BUILDING DIVISION akb,‘ PERMIT #: MST2007-00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639-4171 IL Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. • OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503-010-6226 CONTRACTOR: OMER PHONE #: Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 067745-01 603-810-6247 N Corrections/Comments/Instructions: ce ,,,.., Ajar Sc'. e-,,r (-- Sr --.1---- I I PASS 17%K APPROVAL 0 CANCEL fl NO ACCESS I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: , Date: 4 2 .-- S Phone #: (503) 718- Z-= '`f------ CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 1"2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8128/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 81(16225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 41//2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 067661 -01 503- 810 -6247 N Corrections /Comments /Instructions: PASS ARTIAL APPROVAL ❑ CANCEL n NO ACCESS I j FAIL CALL FOR INSPECTION I f ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007 -00M2 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 9/28/2007 Phone: (503) 639 -4171 ° p�lu' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 12643 SW 1351H AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: h03 - 0i0 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For:, Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 239 Final impection 067587 -01 503-1310 Y Corrections /Comments/ Instructions: /^/30..,A7 v..,A7Z 14120 un.eO *-�o� �rUu� g e ,54.0116976, artvz4.44,0.7-6- •7 5 (--° s/ZOS ti C_GVie Z-- M. = ire e4-1...„-- 1/•‘,S 211frilo PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL f CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - 4 L • 1 CITY OF TIGARD ''' ' BUILDING DIVISION PERMIT #: IVt. ?T2t107 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: r3/2812C107 Phone: (503) 639 -4171 A110 Inspection Requests (24 Hrs.): (503) 639 -4175 " L . INSPECTION WORKSHEET FOR DATE: 3125/2008 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 12643 SW 136TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/2612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 1x39 Electrical final 067280 -01 603. 8106247 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED '� 0 _ - V" Inspector: Date: , J Phone #: (503) 718 CITY OF. TIGARD BUILDING DIVISION PERMIT #: MST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 em"�'llItt (1; Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 17 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA PO1TS & STEFAN ALEXANDER, PHONE #: 503810 CONTRACTOR: OWNER bn �( � it 3c c PHONE #: I J Inspection Request Scheduled For: Date: 3/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 067042 -01 503.810 -6247 N Corr ctions /Comments /Instructions: i .'°`1\ -.-1. El- 'cis -is k--. N ibt\)s ea., pft\I \PE %2 k 0 SEAL., in) . 1 ' cZ. N os1~ • 6r' \AO'3 (#J :. K ,,,c,... 5 b'E 0 #.1:A) :1 . i\C 1 ‘ o "3 t Ic c\kwi\i P\It ,4‘1 `11 51aU -- ` Ct i car\ ft\ 7�3 '' I A D3 __ _ &"i tV1i V S ` 02.v 1 E (t c L (_30 4 ( j GJV V\ PAN\ w I a_I c ls�`VZ i\ b• Nili PoS' 35 ipsLi ‘ 1 -----■■■ ❑ PASS fl PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL 94 FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: C -) V� (6 l Date: 3 - Z °- �� Phone #: (503) 718- 2-144 CITY OF TIGARD BUILDING DIVISION PERMIT #: NiST2007-00142 I , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/24/20013 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER. PHONE #: 5034310-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 359 Plumb final 067184-01 503-810-6247 Corrections/Comments/Instructions: N g - PASS - PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I FAIL - CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED InepectSZMA(11,&—iN Date: 3 2L:\ `D Phone #: (503) 718- f CITY OF TIGARD BUILDING DIVISION 4 PERMIT #: IMMST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 1l Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 12613 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: PO DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066807 -01 503-810-6247 N Corrections /Comments /Instructions: ; r ÷ " , kr \ EV e4 \,C. ur 1 \ �v^e , E ► \o ,I , • C%.. P 1 Oviv l,J� 1 --\--z,/id4., Ant, A 2 e.. V F, /kC. 11.J ✓L.J .J U 2✓t, 4 orb 11 -Fa a f' i, - \/(3 ,. Re. 1) Uct I PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: LY>-A---rn Date: g / 0'W Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION �' PERMIT #: fdiST2007-80142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 / 0l ii ° i & Inspection Requests (24 Hrs.): (503) 639 -4175 'I I.. INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00Ai I PAGE: 19 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTI•S DESCRIPTION: New SF. OWNER: DIANA POTTS 11 STEFAN ALEXANDER, PHONE #: 503.810 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: - Date: 3111/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 066483-01 503-810-6247 N Corrections/Comments/Instructions: y /I � . Cc \ SOv `-•3K/ .. ..c. � V (N WQ„ L-0 L-ti, �-t- -4, I. 1/4../ e/1/ E-z°C. 0 -t- . .5G d4#. (c t.crk-r.4.re-. PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspectorate Date: ,tItyJO Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MSI`2007- 001'2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 .a Inspection Requests (24 Hrs.): (503) 639 -4175 ' :W' INSPECTION WORKSHEET FOR DATE: 2121/2008 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 1263 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: Pous DESCRIPTION: New SF. OWNER: DIANA POTTS PK STEFAN ALEXANDER, PHONE #: 503. 810.6225 CONTRACTOR: ovvNER PHONE #: Inspection Request Scheduled For: Date: 212/13008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 065369 -01 50"3I310 6247 V Corrections /Comments /Instructions: e 0 g vVC Li 4A-c.v V A.=\ f?. c� 0,-t 1 A c c d - , r t . A , (.7.\--A,,,, , t . - - - { J v c ) v ` AL i C( -r,.yr 7 fie. a ✓ ' oy d— LSdr. n PASS U PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (115\-yr.^-- Date: 241 071 Phone #: (503) 718- CITY OF TIGARD - ' BUILDING DIVISION PERMIT #: MST2007-00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 908/2007 Phone: (503) 639 -4171 � 's ,�� p :ant Inspection Requests (24 Hrs.): (503) 639 -4175 ..' °I . INSPECTION WORKSHEET FOR DATE: 2112f200 TIME: 7:05AM PAGE: 4 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALE XANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: purrs DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 502,810 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 004895-01 503. 810.6247 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector v _ 1 g}.„.c� Date: - o_ cR) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00 14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ! t28/2O07 Phone: (503) 639 -4171 Avaitve 1 t Inspection Requests (24 Hrs.): (503) 639 -4175 1. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :01AIvt PAGE: 34 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #:. 503 - 810.5225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 083058 -01 503.810 -6247 N Corrections /Commen Instrruccti Q . f i vv ._ VI,t, C, LL,,._A-,) 1 , 0, ,/ ,, l 4 � ; L P W° Q" °A, ■ . / 0 c C '(_,‘ S") . 74 ' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �/ (�A Date: �L Phone #: (503) 718- CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639 -4171 / NAM bi l ,I Inspection Requests (24 Hrs.): (503) 639 -4175 �I .. INSPECTION WORKSHEET FOR DATE: '1/812008 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 12e:43 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: pOTTS DESCRIPTION: New SF. OWNER: DIANA POPS & STEFAN ALEXANDER, PHONE #: 503-810-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/9/2008 Pour Time: Code # Inspection Description s Confirm # Contact # Message 285 - wall nailing 062857 01 503410.6247 N (� 5 - Pi ' Itiet ( 7 • 1" Corrections /Comments Instructions: 4 76;2) C::;124.)-- s ,4-PS / "e s77 ' —<,4 r' 4Y.'`1.cs'v .-Y PASS �� PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL , CALL FOR INSPECTION I f ADDITIONAL FEES ASSESSED Inspector: Date: /— C —e 7 Phone #: (503) 718- Z. CITY OF TIGARD . BUILDING DIVISION . PERMIT #: imFMST2007- 011142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ 28/2007 Phone: (503) 639 -4171 i 4111 ii gl@ fj i l ±I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/8/2008 TI :" 7 :01AM PAGE: 20 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 5503..810.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11812000 Pour Time: Code # In)pection Description Confirm # Contact # Message 242 Interior shear galls 062763-02 360-600-0253 N Corrections /Comments /Instructions: 4e , r - 1 / t A / ( s ir (z) -- ti 0((j ' , C.---1. ,,' -T- ( ra....,,, 6..„. -,..„.., &,. • IF � ... CS t (r . If -......, ....--- \y Ell PASS R TIAL APPROVAL ❑ CANCEL Li NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 2,-VZ-Ci Inspector: `` li---- Date: l / 6�_ Phone #: (503) 718- . Nov. 25. 2001 2:58PM Ca Fk Engineering Inc. No. • 2115 P. J P • • .. • . • • • • • (6 °4 f -. • • • • • • • • • • • • S 000 • • • • • • • • • • • • • • • • • • A nt lik • • O • O • • . • ENGINEERING Box 3097 • 6360) 687-. • Tali free (877) 391-2850 Battle Ground, WA. 9860- : ';360).68,-70 4, . : k-Ivki !calekQa qwestnet • • • lute *00 001, ID s f/ n g E n g\ .. .. • . • 000 ••• •• • • • • • • • • • • 100 •000 . 00 November 26, 2007 Diana Potts 12645 SW 135 Ave. Tigard, OR 97223 Re: Acceptable Substitutes for the Lateral Engineering for the Alexander -Potts Residence at 12643 SW 135 Ave., Tigard, OR Dear Ms. Potts; At the request of Mike LaLane, we hereby provide acceptable substitutions for the lateral . engineering for the new residence at the above address. We recommend the following: 1. Simpson PHD2 hold -downs may be used in place of the HST2 straps attached to the posts supporting the garage header. Attach the PDH2's to the foundation with 5/8" diameter all thread rod or equivalent in a pre - drilled hole with epoxy fill (minimum embedment 6 "). 2. Where hold -downs located on the main floor must extend through a framed wall below (full - height or partial height basement wall), the hold -downs may be moved to the basement wall and attached directly to the anchor bolt provided that MSTC28 straps or equivalent are used to connect the main floor studs to the basement floor studs- Alternatively, the "Hold -Down w/ Pony Wall" detail on page L3 may be used provided that the shear nailing specification is used on both the main floor and basement floor walls. 3. All other details are to be as per the previous Lateral Analysis dated 6 /06/07. If you have any questions, please call 360- 687 -7668- Sincerely; <0 .53 PR ora,,,i/L 5 � ,GINl� 0, (` 1 aOCP - Od)t -(� David Nylund • • R E VLS IO Engineer / 5 ti , / 0 14)0 6 OREGON_ - i Al WA1- /f -Z6 -0 EXPIRES: l z_® 7 APPROVED \ 1 • 7 d1 SITE COPY CITY OF TIGARD . 1 BUILDING DIVISION PERMIT #: MS1`2007 -OO142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639- 4171��4p�i,gll)��I Inspection Requests (24 Hrs.): (503) 639 -4175 `�' , 1 INSPECTION WORKSHEET FOR DATE: 1/8 /2008 TI E. 7:01AM PAGE: 21 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: PMTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/W2008 Pour Time: Code # I $pection Description Confirm # Contact # Message 23( \ Shear walls/anchors 062763 -01 360600.0263 N C rrections /Comments /Instructions: O C yf, – • 5L) ' "k/o ( %P,) — ASS El PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS n FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: .4., Date: I V ( 6 Phone #: (503) 718 - �' ' 21 , „ , , , „. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST7007- 00147 1 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: ' ie /2007 Phone: (503) 639 -4171 / a . 1 ,ui , p I t Inspection Requests (24 Hrs.): (503) 639 -4175 .. __. i INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00AM PAGE: 33 SITE ADDRESS: 12643 SW 136TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: (103 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603810.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 062680-03 360.600-0263 N Corrections /Comments/ Instructions: \ \\.\ f e1 /) 9 n PASS I I PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #' "p07_qi 13125 SW Hall Blvd., Tigard, OR 97223 DATE I : UED: 80812007 Phone: (503) 639 -4171 u if ull iH� @(�' +I O� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_� `__.. INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00A• / PAGE: 34 SITE ADDRESS: 12643 SW 135TH AVE CLA - • WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF, OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date:. 1/7/200 L`' Pour Time: Code # Inspection Description Confirm # Contact # Mes - • - , K 235 , hear walls/anchors 062680 -02 350 - 600.0253 Corrections /Comments /Instructions: V 2_ V 1 /- Y 0- n PASS ❑ PARTIAL APPROVAL \p.A CANCEL NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - CITY OF TIGARD ' 'f BUILDING DIVISION PERMIT #': MST 007 -00147 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639- 4171 m ii�� l Inspection Requests (24 Hrs.): (503) 639 -4175 L. ` __ INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 28 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603-810-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1f4/2008 Pour Time: Code # IrI,pection Description Confirm # Contact # Message 235 Shear wall /anchors 062583 -01 503 -810 -6247 N Corrections /Comments /Instructions:\ rrr PASS n PARTIAL APPROVAL CANCEL n NO ACCESS } i FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` el -- _--- Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -0t) 142 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2 007 Phone: (503) 639 -4171 �i ' r a Inspection Requests (24 Hrs.): (503) 639 -4175 IIL. INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 27 I SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 062684 -01 503.810 -6247 N Corrections (Co / m�nents /Instructions: X 34) ( ,' j 11 �,..6 \ ..,..1 .A C 19 6111\ 1 p __C C\j — . - -- mss vz:50 A t ` C - 1/\..m (-‘Als_L_C-zuA LcS a ,�'w,n LQ,u .4...2 v--- v.: r,/ - 5 S Yv1, _ 1A . - - .. ., . VI Y 6 Acit U ',..)6(JLA ki'D ‘C. ‘1/ c%v\5 ( r a * • Dl . -.- Imo.;, S.. (6442- � I I 0 �� j � a \ri..ejA/L--,-..J - LA/ IA 4A3 --(_de--- e-: 1- - ■_...- , !/ 0 / W 1 ‘v‘ M e- ' esLIrv .-71-JZ C-S/V- at-' 5- 0 174r 64--- vvv,t=Y� '1,. )__ n PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \V t/(4 Inspector: Date: , I / Phone #:. (503) 718 - 1 -1-kf CITY OF TIGARD BUILDING DIVISION PERMIT # : Mr i ?_007 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2012007 Phone: (503) 639 -4171 �ronii 1 @��o�p��Il'i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 : O0AM PAGE: 46 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: RO -J-f5 DESCRIPTION: New SF OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603- 8110 -62266 CONTRACTOR: OWNER IA vy . PHONE #: . 1 .9,11- Inspection Request Scheduled For: Date: 113/2000 Pour Time: 1 V" Code # Inspection Description Confirm # Contact # Mes-.ge 41 1 / 4 / 19'‘bli , sr' 236 Shear awalls/anchors 062467 -01 360- 600 -0253 V V 141. %if Ai? Corrections /Comments /Instructions: • \i &JZ.A W' S ...--, \, 1 `-, r 0 '\r Li ' e.-Lv 1 L-/- -- . _ I \r\Z---ez___ - C.,e/v■_, : 4 s ci L9,--- Li i -tfi �� �-- �.� ------- u.)c_erL.)\--t_vv. s _____. 1..c b ■5 t"r ^ ,see -- .. v PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ti CIZAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ( --` Date: /37a L Phone #: (503) 718- (12-(i , CITY OF BUILDING DIVISION PERMIT #: MST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/2812007 04......: Phone: (503) 639 -4171 � 'a4Nu�i lit Inspection Requests (24 Hrs.): (503) 639 -4175 „J 4 'l l.. INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POT'S DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 - 6226 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/r2008 Pour Time: Code # . Inspection Description Confirm # Contact # Message 255 WLr proofing basement walls 062470-03 503 -810 -6247 N Corrections /Comments /Instructions: ' (' - c ---- kACA c ,_{,.... ok).-- .... i e ______ e „, c___,,, ,_"„ --- . IS d t AA. \1 . 0 ---6--c)-- -- C__/e\r - -5-7-C , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �' C.^ Date: t /3 737r Phone #: (503) 718- 2Jil z_Jyt ,„ .„ ,,, .. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00 X42 13125 SW Hall Blvd., Tigard, OR 97223 i i__ DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 ,��� Inspection Requests (24 Hrs.): (503) 639 -4175 J . INSPECTION WORKSHEET FOR DATE: 113/2008 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 12c43 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 043 TYPE OF USE: PROJECT NAME: p(TT5 DESCRIPTION: N SF OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603-610-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message } 5 Footing drain 062470-01 503- 810 -6247 N Corrections /Comments /Instructions: � `, r - - 1--- •__Xilli•,. ._..... 5 -(,--3-ck--c_, • k c Pri \r-e—r" r Cy r , v-R466 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \- C/ ` ---_- - Date: 1 3 Phone #: (503) 718 - Z1 CITY OF TIGARD ' BUILDING DIVISION _ PERMIT #: MST2007-00142 13125 SW Hall Blvd., Tigard, OR 97223 A API • - ...: DATE ISSUED: 90'2812007 Phone: (503) 639-4171 Ate Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: ppm DESCRIPTION: NOV SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503-810-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 062403-01 503 N q --4ctions/Comments/ structions: \Q-3 0 , / 1 • 6A / , Ve■t) E / ' - yoatA Ln 4i u/7-7/7 . 1\1 ,..,` i (_ I Q ' - -• , 4 it .e..—. ■ LLA-41.■ II, ...1). !' kyiNd 6 ----.J OV'ek, k- N k.*) QA._.c,, J o- i 'Kr o 1 tiLes LL37 ';'\/\ 5. • TD O i.) 0 / v t. I I PASS r PARTIAL APPROVAL fl CANCEL I NO ACCESS / FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Vl Date: 1 /7/ 2-4 Inspector: Phone #: (503) 718- , - , CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00 142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: c t3W2t)07 Phone: (503) 639 -4171 I� M Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 'l l.. INSPECTION WORKSHEET FOR DATE: 1/7/2000 TIME: 7 00AiVi PAGE: 35 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: PO - TS DESCRIPTION: New SF. OWNER: DIANA POTTS 8: STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 0626830 -01 503.810-6247 Y Corrections /Comments /Instructions: 1 (U. I A \i5 ❑ PASS n PARTIAL APPROVAL CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION #: T 007 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/213/2OO7 Phone: (503) 639 -4171 w � gpi l i i i Inspection Requests (24 Hrs.): (503) 639 -4175 .14- INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 :00AM PAGE: 43 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF, OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 - 62255 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 062470 -02 503 -810 -6247 N Corrections /Comments /Instructions: / " U C AM) V e—,k-3 Ci /vd\- &i L,:i r c _ CL/L,0 V ceLA__,e t (....\,„.„ j..i .._ ------ 6-e---. '4 _ G _ 5- S Are-- rV., A \26,___(..). - c.7...y 1 ,a..__ U 4_,..„... r (- 2 ___ R-.__ 116.1 c%�-N Cam. - - ----- 1. 1 c e. : k ) (1_,-..A "1/■_.Q_ _ (----v -A I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS •A1� ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -4 -( S ., Date: l/3/ Phone #: (503) 7182V2-(1 CITY OF. TIGARD BUILDING DIVISION PERMIT #: MST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639- 4171 1gq�ihl Inspection Requests (24 Hrs.): (503) 639 -4175 • s z� .. INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 7 :00A1v1 PAGE: 18 SITE ADDRESS: 126.3 SW 136TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: pons DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603 - 810.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: •12/1312007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough - in 061463 503810 - 5226 N Corrections /Comments /Instructions: I;I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ; ' i /, Inspector: �' Date: Phone #: (503) 718- . - , CITY OF TIGARD BUILDING DIVISION PERMIT #: MIST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W2.8/2007 Phone: (503) 639-4171 Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: ports DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 35 Low voltage 061463 -02 503-810-6247 N Corrections /Comments/ Instructions: it // ! I, 1 14 1 A 1 / 1 11 ' ad nail ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /one #: (503) 718 - r CITY OF TIGARD . BUILDING DIVISION PERMIT #: 1ST: 007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W28/2007 Phone: (503) 639 -4171 5 �UI , Inspection Requests (24 Hrs.): (503) 639 -4175 � 'L . INSPECTION WORKSHEET FOR DATE: 12111/2007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12111/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 061261 -03 503.010.6226 N Corrections /Comments / Instructions: 1 ) ? 4 1> C d&/ VL 6 : J, 4 /42 J i)ip Li i k A1€/i4e m i;t • ❑ PASS ❑,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IN FAIL *ALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: VAI Date: W /67 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION AO PERMIT #: MST2007-00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639-4171 ,lo Inspection Requests (24 Hrs.): (503) 639-4175 ,..,,,14- IL. INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 12C43 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603.81�6226 CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 061261-02 503-810-6225 Y Corrections/Comments/Instructions: i ' ) . , ,, I lAi A A 0 k(A4- T , -(t ) I i' Al 7..,, 0 1 .b(//1 kox 4 .... ...a. 1 - A , : , 4/ J.4-■ " / ''' P1 s / t 0.110 014 iLvti 4 pj lbc,44-e-Ae., ( , g-t'Lvv-Q1 6 f illa.el* 6/14nH111 4 ',61. 1/02 1 1 A / A A/ ,:d A f t`f/4_/4 r J i ■ • , r , 4 4 IP, El PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED i Inspector: 140 Date: Z-W1 / 0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: / +38{2(107 Phone: (503) 639- 4171 viNar�uillrl� Inspection Requests (24 Hrs.): (503) 639 -4175 .. L W INSPECTION WORKSHEET FOR DATE: 12/1112007 TIME: 7:00AM PAGE: 51 SITE ADDRESS: 12643 SW 136TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POT-p-3 DESCRIPTION: New SF OWNER: DIANA t OTTS & STEFAN ALEXANDER, PHONE #: 503..81(1-6226 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 061261 -01 503- 810.6226 Y ty' ,GL ft i---11 Corrections /Comments /Instructions: 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: // Phone #: (503) 718- CITY OF TIGARD ' ' } BUILDING DIVISION - PERMIT #: MST 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 908/2007 . Phone: (503) 639 -4171 mug i�iili Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:01AM PAGE: 65 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603 - 810 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12118/2007 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 06.703 -01 603-810-6247 N Corrections /Comments /Instructions: 0 /A 6 - - • r ." A - ax..: 4,4-----4 • ' -- y2w,.., � .�37 c- .Jv*- ..' -r . AJ6 lyl -1-c,4 L__. 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS pi FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: / r Date: l''cz—r l -- 0? Phone #: (503) 718 - 2,4- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: Phone: (503) 639 -4171 °bq ypgQi +l +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603.810 -6226 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 061534 -04 503 -6247 N Corrections/Comments/Instructions: Y PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I 2 7 / j* / 1) �Phone #: (503) 718- 9 ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 812R/2007 Phone: (503) 639- 4171aN�II�9I�IrI Inspection Requests (24 Hrs.): (503) 639 -4175 : ' __.. INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 :01AM PAGE: 44 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/1412007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 061535 -05 503-810-6247 N Corrections /Comments /Instructions: 170/5 /- 1 •/ g i ( PASS PARTIAL APPROVAL n CANCEL n NO ACCESS ��/ FAIL ❑ C - L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 12 // W #: (503) 718- CITY OF TIGARD '' BUILDING DIVISION PERMIT #: MST2007 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2(07 Phone: (503) 639 -4171 , 0#10 91 ! 1 t,1 ,f,... Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 12114/2007 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 061535-16 503-810-6247 N 3 Corrections /Comments /Instructions: or k 604 (00o 67,5 "PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q Date: Phone #: 503 /// � ) 718- CITY OF TIGARD BUILDING DIVISION l . . PERMIT #: I r; 12007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: R128/2U07 iau Phone: (503) 639 -4171 I ,Il l 4 ' Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 1107/2007 TIME: 7 :01AM PAGE: 35 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: ors DESCRIPTION: New SF. OWNER: . DIANA POTTS & STF.FAN ALEXANDER, PHONE #: 503 - 810 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 060300-01 350.800 -0253 Y Corrections /Comments/ Instructions: 1 S,...S:L� 1 — t ` L ; - S. 1, el el." icy) J Ceti L f i- - O L r. / --2.-9 w .•.r S . � S 2zeenrzzcs�v r .S() l.Ne3Z5-22.4 . /kilt t - /4-P, r•',4 41..E ..r ,, `!- �_ c 6i - 5 - PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . ' Date: 1i- Z 7--0? Phone #: (503) 718 - "t..5.1-.=4-. CITY OF TIGARD BUILDING DIVISION ., - PERMIT #: MST2007-00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912812007 Phone: (503) 639-4171 /A ,..7. 4,1lif Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/2612007 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 17&43 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT#: 003 TYPE OF USE: PROJECT NAME: Puns DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603 CONTRACTOR: oWNER PHONE #: Inspection Request Scheduled For: Date: 11/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 235 Shear walls/anchors 060203-01 503-590-4063 N Corrections /Comments / Instructions: /(6) 40 p-idii..4....rAt,....Cd-414-5. -7--1 t-,—. ,.. 7) ,-- I I PA fl PARTIAL APPROVAL El CANCEL n NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED L Inspector: Date: /7— Z6 —0 Phone #: (503) 718- Z-1 JrAs. ..,. ,. • • ... • .. CITY OF TIGARD BUILDING DIVISION A ` PERMIT #: ST 2007 -00M2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/213/2007 Phone: (503) 639 -4171 µ .�tiv .I Inspection Requests (24 Hrs.): (503) 639 -4175 r111. INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: QQ3 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 810 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 059106101 360-600-0253 V Corrections /Comments /Instructions: 4 (? 4- , '`s • .. .5 0 - i _61:)_______ GvA2L 2 SSvE ` S Ale �v.�d.� � <7 <7�Z - - P ASS RTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: Date: `/— 7 - 0 7 Phone #: (503) 718- Z<2-9 i CITY OF TIGARD 0,„,d 0 ��� ������/��� BUILDING DIVISION PERMIT #: MST2007 -00147 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 9/281 , 007 Phone: (503) 639 -4171 / v y1ll1 Inspection Requests (24 Hrs.): (503) 639 -4175 ...,_.lagr INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01AM PAGE: 52 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603. 810 - G22; CONTRACTOR: O rNER PHONE #: Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message / J25 Post/beam structural 058850.01 360.600.0253 Y • �/ Mgt/ Corrections /Comments /Instructions: - F '- ' a V[ was 04, ,i S deikA. 2) fits.e_ 3 X Z ZX mad /,G4s 0_ t.! 6. t 0 �, r , ) , Mb to i,r • ❑ PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL V: CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Ay a / Inspector: Date: (/7 , Phone #: (503) 718- • ' o CITY OF TIGARD . BUILDING DIVISION PERMIT #: M��T2007_001 12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W2812007 Phone: (503) 639- 4171 " Inspection Requests (24 Hrs.): (503) 639 -4175 A � 'f L � INSPECTION WORKSHEET FOR DATE: 1 TIME: 7 :00AIV1 PAGE: 16 SITE ADDRESS: 12643 SW 13,TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: OM TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503-8 t CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 060493-.02 5034310 -6247 N Corrections /Comments /Instructions: J`, PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d�'wl\11"- 1 1 ,, fl '‘''' Date: 1) 12°1 ( O ? Phone #: (503) 718 CITY OF TIGARD , • BUILDING DIVISION - - PERMIT #: MST2007- 001142 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 ..N1i�,��h "1 4 Inspection Requests (24 Hrs.): (503) 639 -4175 :. ' W ) I� INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503 - 13'10 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 060493 -01 503 -010 -6247 Y c b eta' Corrections /Comments/ nstructions: • PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: wn.. t �.�� Date: 1 j I 9 1,0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #`. MS 1007 -00112 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639 -4171 a'°° '"u��VG��Ij \ Inspection Requests (24 Hrs.): (503) 639 -4175 Alk INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:00Am PAGE: 18 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: N SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 603.810.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 059291 -01 503-690-4063 N Corrections/Comments/Instructions: j if- I " t■- ct .1 vl cA, g.,4_,JJ To G.) ,..,--k, NAL. Lo c a.,4 1.-.1 - Oi Co u'LJ -t cal LJ ..- I \/ , 2. -C. /�. ❑ PASS tyi, PARTIAL APPROVAL CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CY/Nv►•n,J\ \V Date: 19 )/ 6 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 iadyM i Inspection Requests (24 Hrs.): (503) 639 -4175 A ; ' i.. INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01Am PAGE: 17 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503.OE10.6225 CONTRACTOR: OWNER PHONE #: I Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 050995 -03 503.590-4063 N Corrections /Comments /Instructions: P 0141`‘ I I,.) `-` (e ✓Ati u . h-b'r G wi✓ e.c st To (.) a, ✓ Me, ✓; A _A..A ‘ 44 i, ,_,A. 1. 3 0 ° o F IP No i ID R --e... r-,,,4--.A\--J, I Kt wu i .ce,�vAf - I I PASS PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (76\11‘4—)\1\f\----- Date: 1 ) q 0'7 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION A PERMIT #:' MSi20O7_OO142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W2a12007 Phone: (503) 639 -4171 4�� Inspection Requests (24 Hrs.): (503) 639 -4175 _. II =I . INSPECTION WORKSHEET FOR DATE: 11/512007 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POT TS DESCRIPTION: New SF. OWNER: DIANA PO°ITS & STEFAN ALEXANDER, PHONE #: 03.'R10 -6226 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/572007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storms drain 05899501 503-590-4063 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Z 6 ) L`- Date: J f Phone #: (503) 718- -=1` - - t -- - - - -- - - CITY OF TIGARD A— . ,_. BUILDING DIVISION PERMIT #:. MSt2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639 -4171 ��aN @�H��(� , Inspection Requests (24 Hrs.): (5.03) 639 -4175 " :_.. INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01Aid1 PAGE: 18 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: QQ3 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA PUTTS & STEFAN ALEXANDER, PHONE #: 503.810.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 6`1Ca Sanitary sewer 0+58996 -02 503-590-4063 N 3s1 P1 Corrections /Comments /Instructions: 9 n nn/. X PASS _ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (Tb �\ \m- — Date: I I) 0\1 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT A: IV151 - 7007- 00 142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 908/2007 Phone: (503) 639 -4171 !D ui . � Inspection Requests (24 Hrs.): (503) 639 -4175 J . �'IL INSPECTION WORKSHEET FOR DATE: 10/2412007 TIME: 7 :00AM PAGE: 39 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & S1 EFAN ALEXANDER, PHONE #: 503..010 - 6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 059252 -01 503341 -4856 N Corrections /Comments /Instructions: • -- PA SS P NO C n PARTIAL APPRO n CANCEL I I ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: g Date: f6—Z¢ -- 07 Phone #: (503) 718 - Z-� CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 908/2007 Phone: (503) 639- 4171 wdi Ul9 d Inspection Requests (24 Hrs.): (503) 639-4175 = "I L INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7: OOAtiMl PAGE: 70 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: pOTTS DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503-810-6225 EX CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/23/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 058090 -01 503-341 -4856 N Corrections /Comments /Instructions: / '? © / s It Ai istz: 1 t rLu IQ , ,v>5 C_ Yta-i L iL L . <----? -- - - r• ! e Id ivvef Nft-, -1 --- /t - ":42 ..-.' 1' e- e I _ — 4-- - U L.igz. i;? -0 6 Xr (4- Vx /,t.dr&teo>c. .r, <, c,?"1- PAA-Ai . ?/%1129W- -42,6,47c, �"�6re. ern -tc., IA - oiv s', 6 — Z— • 0 S .w✓ -S �. 4/ -mss - v"'74- • iive,P hi.1 /- i�; , Cdi 4/ �7 0 e I PAS PARTIAL APPROVAL I CANCEL NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I n s p e c t o r : , Date: 1 #-- 73 —0 7 Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION ., #: MS1- 7007 -00142 13125 SW Hall Blvd., Tigard, OR 97223 I / DATE ISSUED: 3e2812007 Phone: (503) 639 -4171 . 4jnli g�lh Inspection Requests (24 Hrs.): (503) 639 -4175 = .1. IL. INSPECTION WORKSHEET FOR DATE: 1013/2007 TIME: 7 :00AM PAGE: 23 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: pfl3 DESCRIPTION: New SF. OWNER: DIANA POTTS tic STEFAN ALEXANDER, PHONE #: 503 -810 -6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 101912007 Pour Time: 12 :00 Cf- e # Inspection Description Confirm # Contact # Message 210 Foundation walls 057214.01 503 341 -4855 N C recti�ns /Comments /Instructions: l � i- c LI - �‘ 017 1 5 (42 - �- z� 1'124. ` 41■110 (1\1‘,4 - e r1" w,. 9 U �.-- 0�1 � � 1 � <;,� Cam-- 1 6.4"\i-. F . � _ { - , s n k . �� . V u & ` - yr n t ' 1 Cv\ �..1 ( L. �A ' 4 ems. _ ,�, ,d 14 tf .. \t C Q/d T \ uL✓' V . \) \ A , ' d-f - - . 't/y' _ L., ` �� ,..4,,,.-- • 6 � S r kr r* --- • ® ti, V u, , 6, , A-1-4.4... 6 (Le„,cre„wLA-14.1 { & y PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED O Ins ector: t Date: �� Phone #: (503) 718 - N � ) . . CITY OF TIGARD . &., ' BUILDING DIVISION PERMIT #: MST200I -00147 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2007 Phone: (503) 639 -4171 oara u� i . i l i1 Inspection Requests (24 Hrs.): (503) 639 -4175 'IL1 INSPECTION WORKSHEET FOR DATE: 10/20''007 TIME: 7:04APri PAGE: 46 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: POT1 S DESCRIPTION: N SF OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503- B10.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/2,2007 Pour Time 2 ' Code # Inspection Description Confirm # Contact # Message 205 Footing 056763-01 603. 341 -4856 N Corrections /Co me is /Instructions: t ' 14-4g--- 5 . ) - 7 : 2_-S (4 - (OS 1 441 ti V / 1 in U...1 C%)J d IX' p tPc l� . _ Ti c,,,,L 4 -14-4 e_,. 4\ c r _ i A 'i ki t :j :S (.e ( iv-„ 5tefk — ell 1 . 4 (.L4 -Qptp-k--' MA;01t.e,1 5[419)--6e6ce,,,i-4 3- Kths-t-L--, ,-w` at.g---/j. ( l�► i ') C U ' ®2 6• • • -k.„.,s-- riTh'g: . )1{/tr.t,: I 0") - . 4 r _c - ,-, 9 ,, \ A r , . ., ,-,w ,,c). , ;_f vie .,;),A (,,,,,,-/- 4.124 04 ad by.--e , ,, 'D\ \iv" ' ..___)Ni , PASS PARTIAL APPROVAL n CANCEL NO ACCESS FAIL I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED \itA Inspector: v v Date: 1 Phone #: (503) 718 - r P` ,�'' ,t"--, - . . . 1 CITY OF TIGARD BUILDING DIVISION A PERMIT #:' IviS12007- 00542 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2.0/2007 Phone: (503) 639 - 4171 °0 4 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 :00AM PAGE: 82 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: purrs DESCRIPTION: New SF. OWNER: DIANA POTTS & STEFAN ALEXANDER, PHONE #: 503-810-6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 058191-01 503-810-6247 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL I CANCEL ' NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r'31 1 j A i \ 11 ' i Date: i C7/ Zc% J o) Phone #: (503) 718 - ' I . 4. CITY OFTIGARD BUILDING DIVISION -I PERMIT W.3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: !_;Y:4Y7007 Phone: (503) 639-4171 l ovotteii# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 24/2007 TIME: 7.f., PAGE: SITE ADDRESS: 'PM 3 SW Aok- CLASS OF WORK: SUBDIVISION: ALEXANDER PAM ITION LOT #: O�; TYPE OF USE: PROJECT NAME: PO DESCRIPTION: Nee OWNER: DIANA PC)"1 !• AN ALEXANDER, PHONE #: Un POO. E.226 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/240007 Pour Time: Code # Inspection Description Confirm # Contact # Message Storm wain 069191-02 563- 10-62 Corrections /Comments / Instructions: POT Rec,A • PASS PARTIAL APPROVAL EI CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED • • Inspector: Cie) PA-V Date: 10 \ ?,L101 Phone #: (503) 71'3- . - • - . CITY OF TIGARD BUILDING DIVISION PERMIT #:" MST2007- 001ii2 13125 SW Hall Blvd., Tigard, OR 9723 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7:01AIvl PAGE: 24 SITE ADDRESS: 12643 SW 135TH AVE CLASS OF WORK: SUBDIVISION: ALEXANDER PARTITION LOT #: 90; TYPE OF USE: PROJECT NAME: pons DESCRIPTION: New SF. OWNER: DANA PUTTS & STEFAN ALEXANDER, PHONE #: 503410.6225 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing trnderslab 057956 -01 503-810-6226 N Corrections/Comments/Instructions: menttss //Iynfstruuctions: %/1. $, 1 ` ) T - k f, T" - o Lr YW f.: k. - U A' v f V . �' I ''h.4�.V t✓ 1 o a of t € v c,- I u rv\,r G g - e . l O w £ J 4 c'a u i�d ■ci e d.• I ._ r u 1 a � - ec r, PASS` V ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: (1 \ �; �.--. Date: j 0 / 1 / 0 7 Phone #: (503) 718 -