Permit i .
C ITY OF TIGARD MASTER PERMIT
A. PERMIT #: MST2006 -10075
DEVELOPMENT SERVICES DATE ISSUED: 9/13/2006
Al.' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 DC -01200
SITE ADDRESS: 15880 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT: 459 JURISDICTION: TIG
Project Description: Enclose existing patio.
BUILDING
REISSUE: CUSTOM t. 17 0 STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: A " HEIGHT: 11 FIRST: 90 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 8,316.00
OCCUPANCY GRP: R3 BERM: BATH: TOTAL: 90 sf REAR:
PLUMBING 1
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 . 200 amp: W /SVC OR FDR: 0 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 . 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
JANE DUNCAN OSMON DESIGN & REMODELING applicable laws. All work will be done in accordance with approved
15880 SW ALDERBROOK CIR 17801 SE HWY 224 plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 CLACKAMAS, OR 97015 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 639 - 1441 Contact #: PRI 503 803 - 8529 of these rules or direct questions to OUNC by calling 503 - 246 -6699
FAX 503- 658 -3902 (call or 1 - 800 - 332 - 2344.
Reg #: LIC 108566
TOTAL FEES: $ 274.99
REQUIRED ITEMS AND REPORTS
Issued By : / j_ 4 J Permittee Signature : &L 4.1 1111P �; 1,2.4
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.
r k
Building Permit Applica E F FOR OFFICE USE ONLY
City W Tigard Received /' 2 U /_ M'T�1l(O - "& )75
D ec e ive l_ /_ Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 t t,� Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 3 � �H /� �pi" ' � I Date/By: `? . 7 •Q(p g�� Other Permit:
Inspection Line: 503.639.4175 ! W Date Ready/By: . ...., i Ju • ' ' WI See Attached Checklist for
Internet: www.ci.tigard.or.us ITy 01 � I - - -- Notified/Method: / // Q ' . r/ 1„ Supplemental Information
'TYPE , - - r>(C;Ti or
\ rt' Y 3" v IN d � c e :\e,, rl4t •
OF WORK I ; , '5 0 REQUIRED DATA. 1, ter YD„WELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, td the rofit for e
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: X316
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
`-V* „ ” 'r'" 0 _„ Total number of floors:
,- JOB SITE INFORMATION' D LOCATI( € �;�
site address: 158 gb - SW, A- W >iFt \ /3 RooK 6N-. New dwelling area4111101111quare feet 4 0
iriIState/ZIP: 7tex. i V R Garage/carport area: square feet
p �
Suite/bldg. /apt. no.: Project name: j'N 6 U e,, A v I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
i' l Iiii as P;
. 1$I11iiitdti8i=TIv1;E
Subdivision: Lot no Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
, ,, 4!", l' .. ■ " i ` OF WORK - work indicated on this application.
FA ciL&s 71/ SA6.s or G T G l V IG Ka Valuation: $
jA.-r Existing building area: square feet
1
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name: n i g U Ni A Type of construction:
Address: ' a g 0 „ S IN . A p b . OOI Occupancy w, Occu groups:
Ygr uP
City/State /ZIP: - +-ter 0 Existing:
Phone: (S ) - & Fax: ( )
New:
APPL _ CANT ❑ CONTACT PERSON, :.N -- � . > --
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: O SW) 4 _�f p _ 1 ogg .. M g Aih_ BUILDING PERMIT FEES*
Address: 80 due , d •` �s
I sE ' ry► I Please refer to fee schedule.
City/State /ZIP: '('� 3
Phone: ( �93) � g 3 W � s � Fax: ( ��) � S ' g 3 p �� F ees due upon application i �/' � I
Amount received
CCB lie.: p •
• /; --/ (> - 6) .
. Date received:
Authorized signature: ` ����j���� �I This permit application expires if a permit is not obtained
l'■ . u . ,1 • within 180 days after it has been accepted as complete.
Print name:' d L . ., _
. ,� Da e =PIM * Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Bui lding\Permits\BUP- PermitApp.doc 12/03 440 4613T(11 /02/COM/WEB)
One- and Two - Family Dwelling •
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 sseBy:
A
Phone: 503.639.4171 Fax: 503.598.1960 //41 it ,�1��l j1
,I\ Associated permits:
� l
24- Hour Inspection Line: 503.639.4175 ❑ Electrical 1:1 Plumbing ❑ Mechanical
Internet: www.ci.tigard.or.us 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity _ ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 _L Ctmplete sets of Bible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ EL
building codes. Laterg design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ El
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists El ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ El
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or El ❑ ❑
architect licensed in Ore: on and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". _ ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 . Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ st ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ . ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ El
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
i:\Building\Permits \One- Two - FamilyChecklist.doc 12/03
Electrical Permit Application', G I % I ■ FOR OFFICI. I , ,l ( I\ 1
,:......
ih, City of Tigard u : p(p i Permit No.: K , � r b
' 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
ll . Phone: 503.639.4171 Fax: 503.598.1960
H i I h 4 Date/B der Pemut. Seep e 2 for
TIGARD Inspection Line: 503.639 DateReadyBy:
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WOIC.1 I. Lir 1 -Kji 1 PLAN REVIEW
.- >- rrnT.+ f\
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition El Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A", `E ", "I -2 ", "1 -3 ",
Job no.: Job site address: toot lP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. 1 Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel _
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, r 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
" Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State/ZIP: Each additional inspection over allowable in any of the above
Phone: ( ) Fax: ( ) Per inspection 62.50 CI?
Investigation per hour (1 hr min) 62.50 •
CCB Lic.: Electrical Lic.: Supt v. Lie:: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 4 I O , s 5
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): .3 . - TS --
Authorized signature: TOTAL PERMIT FEE:
Print name: I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ Building \Pefmits\ELC- PennitApp.doc 05 /23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Buitding\Pamits\ELC- PamitApp.doc 03/23/06
Electrical Permit Application L. FOR OFFICE USE ONLY
City of Tigard Rec Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ''" " • 1 L. Date/By Other Permit:
Inspection Line: 503.639.4175 ±i ' 1 1, 2,,, Date Ready/By: ions El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
E: i:: s::tai:::ri % ::i:i::i <:i
<:i:i iiai
<: :!:::::::' isi:;: Sr3i :;:E:it:t:7 :::::: :::::::: OOi,.r..
... .:: ::::
:: :.:
:::::.:.:;:: �A1�
❑ New construction i5.Addition/alteration/replacement Please check all that apply:
❑ Demolition [] Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
. . new residential
n ntial
dwellings 4 or more l- an 2-famil ...... . . ..... . . . .... . .. . ........................ ...................................... .... . . . . . . . . . . . . . . . . . . . . . ....... . . . . . . . . . .... . . . . . . ... . . ts in one structure
.l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units
❑ Building over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑Master builder ❑Other;
❑ Occupant load over 99 persons ['Manufactured structures or
RV R park
:) •;. >;;:• :.;AN � llrt` 1' iil�1' �> > > ?< >s >< > >` >'::::` >:<:<:<-
P
) EQ�." I; �::.::::: 3�Ak' ��....::,:. � :::.::::::::. �::::::::::::::: ❑E essnighting plan
- 8T
Job no.: 1 Job site address: ❑Health -care facility 0 Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
::. l. lag >< > >>><>>>»
Suite/bldg.lapt no.: I Project name: Description rl ......... " Qty. .. :.. Fee. ( Total I •'
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
75.00 2
Limited energy, residential 75.00 2
t Limited energy, non - residential
i. V.S 1€ C 1!F:: IFOl '::':.`:: >: 3` . '::': ;z ` ::? `' r :;' < :::: "<.;% >3
...... Each manufactured or modular
Q i t g dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
201 st
o400am s
106.85
2
: I' lEt.{ iP1�3: �` lt` :.: �lJ ' I:: >:::: >:::: >:::: >:::::::i`> :;;>::.::... ::;: >: �;:::::' i' ll?' AT: 1�! T`. I':::::>::::>: :is:: >:: >::: >::::.::::: >::: >:
�P
amps ...................................................................................... ............................... 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A Fee branch circuits with
::: , ::::.
for br
......:::::::::.
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 , 2
Address: Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or P limited -
p anel ' >;: gY n ' or
extension. Describe: Page 2 2
Business name: `) A j � 'Q C k (, u d
Address: 7_, 1 - `_, La n c� Each additional inspection over allowable in any of the above
V Per inspection 62.50
City / State/ZIP: &L ,r,Y c f `77 b 0 y Investigation per hour (1 hr min) 62.50
Phone: (6'S) 991 _ I 4st Fax: (66S ) G 7 :! :) L— 3 S',Z Industrial plant per hour 73.75
CCB Lic.: i 53Z'13 I Electrical Lic.: 3 - - 5 " 5 5 X 1 Suprv. Lic.: 40 11-5 Subtotal
Suprv. Electrician signature, re Gy�Z� LQ- Plan review (25% of permit fee)
Print name: D q n ; Q,‘ - ■ .-k Z1 L Date: g.....11-0 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i:\ Building \Perrnits\ELC- PeaoitApp.doc 12/03 440- 4615T(10 /02/COM/WEB
L
-44/4
CITY OF TIGARD
RESIDENTIAL PERMIT APPLICATION REVIEW OREGON
Permit Number V Tamer - CEO75
Lot \o.
Subdivision
Address 15 Voa 31.°
Contact Name
I3usiness
Street
I State I I Zip 1
As required by the 1999 Legislative action (Senate Bill 587), your residential permit application
and plans have been reviewed to determine if it is complete and if the plans are deemed
"simple" or "complex" as defined in ORS 455.467 and 455.469.
X The application is complete.
The application is incomplete for the following reason:
The submitted plans will be reviewed; however, a permit cannot be issued until the
above information is reviewed and /or approved.
I I The submitted plans cannot be reviewed until the above information has been
submitted and /or approved.
The plans are deemed "simple ". The plans are deemed "complex ".
If you have any questions please call Loraine Williams at (503) 718 -2708.
Name of Plans Reviewer Date
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
- -
CITY OF TIGARD
BUILDING DIVISION .
' PERMIT #: IvIST2006-10075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639-4171 Jitti t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 62
SITE ADDRESS: 15080 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio,
OWNER: DUNCAN, JANE PHONE #: 503-639-1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503-803-0529
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039629-01 503-803-8529 Y
Corrections/Comments/Instructions:
Vow-
• , r I
/ / . ;SS I I PA•TIAL APPRO , L 0 CANCEL fl NO ACCESS
FAIL U, ' A ''gr I PECTION I I ADDITIONAL FEES ASSESSED
Inspector: ' A A re
Date: Phone #: (503) 718-" I2.V2-,6
, _. ,
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: 1vIST200610075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9113/2006
Phone: (503) 639 -4171 / ii i
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 11/14 /2006 TIME: 7 :02AM PAGE: 63.
SITE ADDRESS: 16800 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 • LOT #: 469 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, EJANE PHONE #: 503639 -1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503.8039529
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039628.01 503 - 803-29 Y 1
Corrections /Comments /Instructions:
44 P ASS n P ' TIAL APPR• ' L n CANCEL n NO ACCESS
I FAIL /CAL FF . .SP ' TION n ADDITIONAL FEE ASSESSED
Inspector: ' Date: Ii /� Phone #: (503) Ti8=
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639-4171 appti r
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AM PAGE: 88
SITE ADDRESS: 15880 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, JANE PHONE #: 503-639-1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503-803-8529
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 038381-01 503-803-8529
Corrections/Comments/Instructions:
V r ...e.ASS I I PARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 6% Date: JO/c7/4 Phone #: (503) 718- Z637
' CITY OF TIGARD w.
BUILDING DIVISION
PERMIT #: MST2006-10076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1312006
Phone: (503) 639-4171 4)71 . 0 40/0
Inspection Requests (24 Hrs.): (503) 639-4175 ,-.-all IL.
INSPECTION WORKSHEET FOR DATE: 10126/2006 TIME: 7:04AM PAGE: 51
SITE ADDRESS: 15880 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, JANE PHONE #: 503-639-1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503-803-8629
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
200 Insulation 038834-01 503-803-8529 N
Corrections/Comments/Instructions:
r.. I/0 I-Az ,o , ,e '- A' ./ -., Or. .... ' 7- • . 4er " ,■ C_ HI -
d r
V
PI pi PARTIAL APPROVAL 1 CANCEL NO ACCESS
I I FAIL I I ALL FOR INSPECTION
A ADDITIONAL FEES ASSESSED
Inspector: -' Date: le)—_,74 —#10 Phone #: (503) 718-
, _ , •
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CITY OF TIGARD
F-
BUILDING DIVISION <, PERMIT #: MST200 &.10075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7 :01Am PAGE: 87
SITE ADDRESS: 15880 SW ALDERE3ROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, JANE PHONE #: 503- 639 -1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503- 803 -8529
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 038419-01 503-803-8529 N
Corrections /Comments /Instructions:
' !� PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G44T' Date: 0 „ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . :_..
INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 3
SITE ADDRESS: 155880 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO,8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, JANE PHONE #: 503 - 639 -1441
CONTRACTOR: OSIvION DESIGN & REMODELING PHONE #: 503 - 803 - 8529
Inspection Request Scheduled For: Date: 10/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 .rior sheathing 038340-01 503. 803 -8529 N
Corrections /Co ments /Instructions:
P' : PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
ki FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
jAz —)
Inspector: Date: 1 Phone #: (503) 718-
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: MST2017 0075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639 -4171 1 11 A
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' III
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7:03AM PAGE: 61
SITE ADDRESS: 15880 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio.
OWNER: DUNCAN, JANE PHONE #: 503-639-1441
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 503 - 003 -8529
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time: ab,
Code # Inspection Description " Confirm # Contact # M age ( t
225 Postlheam structural 037742 -01 503 -803 -8529 Y
Corrections/ omments /Instructions:
c()),,
Zl b A-4,, u3-c,-A
z30 < s
34, 'ASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
C u/A..7 -2-12%/
Inspector: Date: 6 Phone #: (503) 718-
. _
,_
CITY OF TIGARD .,
" BUILDING DIVISION / PERMIT #: MST2006.10075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/7006
Phone: (503) 639-4171 iiim I irk\
:
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7:02AM PAGE: 55
SITE ADDRESS: 15880 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD N0,8 LOT #: 459 TYPE OF USE:
PROJECT NAME: STRAUCH
DESCRIPTION: Enclose existing patio,
OWNER: DUNCAN, JANE PHONE #: 503
CONTRACTOR: OSMON DESIGN & REMODELING PHONE #: 50.803.8529
Inspection Request Scheduled For: Date: 9/2212006 Pour Time: 9
Code # Inspection Description Confirm # Contact # Message
205 Footing 036891-01 503-803-13529 N
Corrections/Comments/Instructions:
t
El PASS 0 PARTIAL APPROVAL CANCEL fl NO ACCESS
El FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: , Date: 1 0 ti Phone #: (503) 718- ZA1-1--•