Permit O .i v� MASTER PERMIT
7 ® GAR PERMIT #: MST2007 -00222
COMMUNITY DEVELOPMENT DATE ISSUED: 12/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DA-09500
SITE ADDRESS: 06560 SW ALFRED ST ZONING: R - 4.5
SUBDIVISION: PP1991 -092 LOT: 002 JURISDICTION: T1G
PROJECT: RAWLINS
Project Description: Add 512 sq ft bonus room over existing garage. 2/25/08, Install SER cable from meter to panel.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 21 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 20 SECOND: 522 of GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 89,584.78
OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 522 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 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: 1 0 - 200 amp: W /SVC OR FOR: 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: 3 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 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
JOHN & HEATHER RAWLINS FRESH LOOK REMODELERS INC laws. All work wit be done in accordance with approved plans. This
6560 SW ALFRED ST 380 SE 141ST AVE permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 PORTLAND, OR 97233 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 - 245 - 3742 Contact #: PRI 503 - 752 - 1984 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 -771 -2112
Reg #: LIC 1 23789
TOTAL FEES: $ 1,214.39
REQUIRED ITEMS AND REPORTS
Bolts in concrete
•
Issued By • , • 1 0 y .#, ' j Wi _ j Permittee Signaturc ' c:P.--(e _`.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatiii CE
Residential FOR OFFICE USE ONLY .
City of Tigard n EC d ''/ 2001 Received / 7 5 %?DO ?'64,1(2,2_
2 d Permit No.:
. v 13125 SW H all Blvd., Tigard, OR 9722 C A Plan Review
Phone: 503.639.4171 Fax: 503.598 1�Y Q` rI�nRD DateB p� �) Other Permit:
TI C ARD. Inspection Line: 503.639.4175 '1 �4�1G OIVIStQ Date Ready /By: � �J� tans ® See Page 2 for
Internet: www.tigard- or.gov W 1V Notifie. ethod: ,Ii d , ` /. a , Supplemental Information
-IL i
• TYPE OF WORK r- " QUIRED AND'2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
F * Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. • CATEGORY OF CONSTRUCTION' work indicated on this application. '
Valuation: q i
" 1- and 2- family dwelling El Commercial /industrial 9 I i� 0
CI Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms: ♦ 1
JOB SITE INFORMATION AND LOCATION ' . Total number of floors: a
,, „0
Job site address: 4 c6 5 j4 �/ New dwelling area: 5 g. d square feet t ✓/ ,
City /State /ZIP: „ g , r Cool . '7 QQ� 3 Garage /carport area: square feet ✓'
Suite/bldg. /apt. no.: Project name: Rj�j L) N5 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
. REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
A . .* * . . - ._414 .ia •ICJ - Ayr1: / i
, i • cor.�� / rL, Existing building area: square feet
J New building area: square feet
M PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,Tfl - 3, 1 /3 j { �., n „ r L ,, s Type of construction:
Address: (0 c'^6•0 • & , A tn FP S'T' Occupancy groups:
City /State /ZIP: IP PI 6 1 0V.. C 7? z 3 Existing:
Phone: ` 7 1 Fax: ( ) l New:
ix APPLICANT ❑ CONTACT PERSON NOTICE
Business name: es iri- Q a P�� � �. a All contractors and subcontractors are required to be
Contact name: _ j - _ e ') licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �' .f) jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: ( P ,-• -/ t � 1Cg�3�� Z
- (' 33 apply:
Phone: (S65) 75� _ 176 V CC ; }7 x: : ( ) 9'J / ' .". c2/fib
E -mail: < It) 4�2.. W 1°i i > i& r
CONTRACTOR
Business nam [ —. 7 1 BUILDING PERMIT FEES*
i (Please refer (0 fee schedale)
Address:
City /State /ZIP:
54- WA_ A -') Structural plan review fee (or deposit): 5-51- !$-
Phone: ( ) ( ) FLS plan review fee (if applicable):
Fax:
CCB lie.: ,.73 �r 7 foA. /b Total fees due upon application: ?./ - l
'� ( Amount received:
Authorized signature: ��� -fc4 '� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: „ /i 0 . ry 6. i t Date: j2/7/67 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB)
1
Building Permit Application Checklist
One- and Two - Family Dwelling FOR; OFFICE USE' ONLY • ,
City of Tigard Receive Permit No.:
Date/By: ' a 13125 SW Hall Blvd , Tigard,.OR 97223' .
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 ❑ Electrical , „ ❑ Plumbing ❑ Mechanical
TIGAR,D
Internet: www.tigard -or gov ❑ Other:
T HE, FOLLO I AR REQUIRE 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 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; 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. • L
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 ' Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:V3uilding \Permits \BUP- RES- PermitApp doc 0321/06 440 -4613 T(1 I /02/COM/WEB)
Mechanical Permit Application FOR OFFI U SE•ONLY .
Received -7 —� Q
-
City of Tigard DateBy: 17 7 D, Permit No.: • ys r /
IN G EN ED 9 13125.SW Hall Blvd., Tigard, OR ! - Plan Review
Phone: 503.639.4171 Fax: 503.5 .'i i
Date/By: Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready/By: ov Juris Supplemental See Pent l for
Internet: www.tiaard-or.gov DEC ®pt 200 Notified/Method. Supplemental Information
• TYPE OF' Wd Y OV. TIGAt9 • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El Add New construction t! ITYI5 Mechanical permit fees* are based on the value of the work
ition /alt s.'�i d_: en performed. Indicate the value (rounded to the nearest dollar) of all
['Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. CA TEGORY OF CONSTRUCTION Value: $
`Zf I - a nd 2-family dwelling RESIDENTIAL EQUIPMENT [SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
:JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / c / Air conditioning or heat pump
(/� cs� v (�( ) , gz tQ,.d7 S , (requires site plan showing placement) 14.00
City /State /ZIP: /4? ,gam . C T o 7 Fumace 100,000 BTU (ducts /vents) 14.00
�?� Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: ,i11-31,C12_, S Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . Water heater 10.00
Gas fireplace 10.00
Qp.) � � j7'
c1/ � l en Flue vent for water heater or gas
bza_ "I fireplace 10.00
1�7��C 3 Z.1 e„ / Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
. [vPROPERTY OWNER I ❑ TENANT • Chimney /liner /flue /vent 10.00
Other: 10.00
Name:
/------- a ` v" imilstr r...!;1., �'r...!;1., _ S Environmental exhaust and ventilation
Range hood/other kitchen
Address: / 6 - , jJ A ) 57 , equipment 10.00
City /State /ZIP: 19 V i cW t ((( / - 9Z'z- 7 Clothes dryer exhaust 10.00
`L Single -duct exhaust (bathrooms,
Phone: (5 9K (379(2_ Fax: ( ) toilet compartments, utility rooms) 1 6.80
. . . (t] APPLICAN ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: /...) /!_ 2j / ��! }U /P �7^ , Other: 10.00
' t 1 7 St, — /l/ C , Fuel piping
Contact name: �4 &-; ( $5.40 for first four; $1.00 for each additional
Address: G-.,) , , ,L Fumace, etc.
O CJ . l Gas heat pump
City /State /ZIP: q�. L ` .'?.?-3 Wall /suspended/unit heater
Phone: ( 7c _/ Fax:: ( ,5) /37/ / / _Water heater
�. „ y L�� (( ^ Range
E -mail: b014-4-- ��" � a41° � I i Rne
CONTRACTOR I arbecue
�j Clothes dryer (gas)
Business name: ' ?3 fr ) /C 0 1c /--
1 Vim" C ; L � U� Other:
L
Address: (` `_ > MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee) —
CCB lic.: 1257 State surcharge (8% of permit fee)
S / TOTAL PERMIT FEE
Authorized signature: i / This permit application expires if a permit is not obtained within 180
/r,� i a� � J / 6!( / Al days after it has been accepted as complete.
Print name: ,-]] ''� ,f].G /J C - / C _�• A'�p * Fee methodology set by Tri- County Building Industry Service Board
\ P
1:\ BuildingermitsVv / i / EEEC- PPerrmitApp 01 /19/07 440 -461 (11/# /COM /WEB)
Mechanical Permit Application - City of Tigard •
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:..: Permit Fee:-
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
l: \Building \Permits \MEC- PermitApp.doc 01/19/07 2
Electrical Permit Application FOR OFFICE USE ONLY
City "' Received W W O O t �
of Tigard Date/By: / G 7 Permit No.: �� o
I - . a 13125 SW Hall Blvd., Ti gard,e0k z!. w "- �� ! Plan Review /
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 DEC �q 2UU7 Date Ready /By: Juris. ® See Page 2for
Internet: www.tigard or.gov LL 0 / I Notified/Method: Supplemental Information
TYPE i t h TIGARD
• PLAN •REVIEW
❑ New construction [ 'Addigitn i Pld ti ��a� Please check all that apply (submit 2 sets of plans w /items checked below):
+ii o .w
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION - exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
` and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
/ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: / � ► 1001lP or more occupancy.
�P �l719 S �. jL fire? ^ /, ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: � e. _ j�Q Q 7 ❑ Health -care facilities.
❑Hazardous locations. ❑ Supply voltage for more than
�` _ V11� ( / Z` 600 volts nominal.
MS ❑ Service or feeder 600 amps or more.
Suite /bldg. /apt. no.: Project name: 1 K A- � L) FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total
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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION 'OF WORK (with above sq. ft.)
'G107 ` . G a
Limited energy, (with above family
1
Fn �T'rt v h� / residential (with a sq ft.) 75.00 2
Services or feeders installation, alt ration, or relocation
It _ MI / "::.L._ 200 amps or lesse},Ia,5165( I 80.3 2
VI PROPERTY OWNER ❑ TENANT . . 201 amps to 400 amps 106.85 2
Name: d 401 amps to 600 amps 160.60 2
J - L�- e . f7( /� , L/ � s
f/1 I , �lT�" 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: ( ) I 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
Branch circuits - new, alteration, or extension, er panel
Owner signature: Date:
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 II t��
Contact name: without service or feeder fee, 1 46.85 1 e • UJ 2
first branch circuit 1 /
Address: Each add'l branch circuit 3 6.65 tRq`j , 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business nan-e: e� � �� c CZ �j�' 7 �- energy panel, alteration, or
Address: io n v eg 6 362 C/' ` / extension. Describe: Page 2 2
City/State /ZIP: P u-i' Q e._ 7 4 Each additional inspection over allowable in any of the above
( ) / Per inspection 62.50
Phone: ( )
Fax: ,8 765 Investigation per hour (1 hr min) 62.50
CCB Lic.: 35 7 Electrical Lic.: ,,o ,6,.t/` _ Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: /OD Subtotal: 6 ( Q,, 1?0
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): 5 , 69-
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WER
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK,ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
0 Heating, Ventilation and Air Conditioning System*
O Vacuum Systems*
n Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems •
0 Boiler Controls
n Clock Systems
O Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
O Instrumentation
n Intercom and Paging Systems •
n Landscape Irrigation Control*
0 Medical
• Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
L\ Building \Permits\ELC- PermitApp.doc 03/23/06
Plumbing Permit Application
Building Fixtures RECEIVED
FOR OFFICE USE ONLY , . .
Received . / erl 7 ��C�S - X( j 5 dl .
i
City of Tigard i 7 G7 Permit No.:. �0��/
Date/By: -
1111 -
• 13125 SW Hall Blvd., Tigard, OR 97'i r ' 2UU7 Plan Review • I Phone: 503.639.4171 Fax: 503.59:. H66 Date/By: Other Permit No.:
T 1'G A R D Inspection Line: 503.639.4175 CITY OF TI GARD Date Ready /By: turis ® See Page 2 for
Internet: www.tigard- or.gov ppp����±± 11 �+N Notified/Method: Supplemental Information
TYPE OF W FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description Qty. Ea. I Total
Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION. SFR (1) bath 249.20
0, 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( _ sq. ft.) Page 2
JOB SITE, INFORMATION AND LOCATION , Site utilities
Job site address: f 5 - Cy 6 5 ,4 si`, Catch basin or area drain 16.60
- City /State /ZIP: w / ,:e..21 crir 7 7 z 3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: / Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: _) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK >> Backflow preventer Page 2
® d- 8 At 1 -t5 C41,-- Backwater valve 16.60
t ,,� ^ 6.1-7-.^07 Clothes washer 16.60
r7 '� v t Dishwasher 16.60
PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
�-^ Ejectors /sump 16.60
Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal, 16.60
❑ APPLICANT ❑ CONTACT .PERSON Hose bib 16.60
' Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: . Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
S ink/basin/lavatory I 16.60
Phone: ( ) Fax::( )
Tub /shower /shower pan 1 16.60
E -mail: Urinal 16.60
• . CONTRACTOR Water closet 16.60
Business name: ' `� / t ,� J Water heater 16.60
Address: v -0_ ; " Other:
r� � . �� \ /
City /State /ZIP: '� � y �i 9 2'€.y 3 Subtotal
Minimum permit fee: $72.50
'/
Phone: (SOX `f� S/ /. Fax: (560 ) / ^ f.p Residential backflow minimum permit fee: $36.25
CCB Lie.: / 7;(���6 Plumbing Lic. no.: Nbgl x Plan review (25% of permit fee)
Authorized signature: (/ VA./4( V State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1 \Building\Permits\PLMF- PermitApp.doc 12/27/06 440 -46 t 6T(10 /02 /COM /WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities. Qty. Fee,(ea) Total' Square Footage: Permit Fee:
Footing drain - 1 100' 55.00 0 to 2,000, $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - l st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture .or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 ' and including $25,000.00.
Rain Drain, single family dwelling 65.25 °$25,001.00 to $50,000.00 $379.50 forthe first $25,000.00 and $1.45 for
Inspection of existing plumbing or
each additional $100.00 or fraction thereof, to
specially requested inspections - per hour 72.50 and including $50,000.00.
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for Plumbing Installations -
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed ' greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer. •
Previous' Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
_ Baptistry/Font as defined in OAR91 8- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink - 2" that meet the qualifications above.
-3"
-4"
Car Wash Drain
Garbage -Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall •
Sink - Bar /Lavatory •
- Bradley *Note: If the fixture work under this permit results in an
- 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\PLM- PermitApp doc 12/27/06
12 -21 -2007 15:52 FROM- T -679 P.001/001 F -139
Ir. VI 1 I V I 1 I%Wit 161
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Electrical Signature Form
IMPORTANT PERMIT NOTICE
DRYER ELECTRIC INC
DBA ROSE CITY ELECTRIC
PO BOX 86369
PORTLAND, OR 97286
Permit #: MST2007 - 00222
Date Issued: 12/17/2007
Parcel: 1 S 125DA -09500
Site Address: 06560 SW ALFRED ST
Subdivision: pp1991 - 092
Lot: 002
Jurisdiction: TIG
Zoning: R - 4.5
Project Name: RAWLINS
Description: Add 512 sq ft bonus room over existing garage.
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, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
JOHN & HEATHER RAWLINS DRYER ELECTRIC INC
6560 SW ALFRED ST DBA ROSE CITY ELECTRIC
TIGARD, OR 97223 PO BOX 86369
PORTLAND, OR 97286
Phone #: 503 - 245 -3742 Phone #: 503 771 - 5667
Reg #: ELE 26 -1142C
LIC • 153466
SUP 2876S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ?-tiker Uk.)0N3e
Signati e o upervising Electrician Name (printed) SUP LIC #
Il
,„ CITY OF TIGARD
°..` COMMUNITY DEVEL
TIGARD ��
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
ECE ,Plumbing Signature Form ' H I
[.LL 4 2001
CIiY�r1
• P IMPORTANT,PERMIT NOTICE ` - DUI DIN D
ADVANCED PLUMBING LLC
VISION
PO BOX 593
PORTLAND, OR 97207 -0598 /
•
Permit #: MST2007- 00222
Date Issued: 12/17/2007
Parcel: 1 S 125DA -09500
Site Address: 06560 SW ALFRED ST
'Subdivision: PP1991 - 092
Lot: 002
Jurisdiction: R -4.5
Zoning: TIG
Project Name: RAWLINS
Description: Add 512 sq ft bonus room over existing garage.
Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return this
Plumbing 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, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
JOHN R; RAWLINS ADVANCED PLUMBING LLC
6560 SW ALFRED ST PO BOX 593
TIGARD, OR 97223 PORTLAND, OR 97207 -0598
Phone #: 503 - 245 -3742 Phone #: 503 - 241 -4945
Reg #: LIC 123789
LIC • 123789
LIC 153466
LIC 178586
PLM PB470
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber Name (printed) ,
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 00(110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2008
Phone: (503) 639 -4171 "poll I
Inspection Requests (24 Hrs.): (503) 639 -4175 NIA :_..
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7 :00AM PAGE: 27
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 - 092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Installation of low voltage for audio/stereo wiring.
OWNER: RAWLINS, JOHN & HEATHER PHONE . #: 503 - 245 -3742
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071988 -01 503 - 866-6855 N
Corrections /Comments/ Instructions:
.V
\ K PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
l�
Inspector: Date: # Phone #: (503) 718- 2q/L_______
�
p ( }
CITY OF-TIGARD s
BUILDI DIVISION PERMIT #: MST2007 -00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/170R607
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,_.
INSPECTION WORKSHEET FOR DATE: 7/15/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: 31991 - 092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2/25108, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 603-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC. PHONE #: 503-7511984
Inspection Request Scheduled For: Date: 7/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 072574 -03 603 -927 -2175 Y 1
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ,f,A Date: 7 -- °a- Phone #: (503) 718- Z-<gC"t--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639 -4171 ><TM�i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 06660 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 - 092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWIJNS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 126/08, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503 - 245.3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503- 752 -1984
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message AA
299 Final inspection 072444 -01 ,03 -927 -2175 Y •
Corrections/Comments/Instructions: J �,,,- I
q rscv: d .� st„, e 414 k vn 5 ; �. a 17 ' /Wr^J ,,, �n S
2 1 ee^� c \ iro (jo✓' v +s1/c I i IA fe Ul c»-- - i St) l61.4 i ds Co treci ■U+�s
— See rc (6 e -7 3- y- Os
I I PASS U PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:. S. Date: // Tu/ Y Phone #: (503) 718- 02923
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 4.144. -
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 295/08, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 603-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 072049-01 503-866-6855
Corrections/Comments/Instructions:
_SQ 4a,‘ S vo Ar\ Co Lv i i --,,„,„r\ -- cA1L
Otelve
gi
PASS 7 PARTIAL APPROVAL EI CANCEL fl NO ACCESS
I I FAIL I I CALL FOR INSPECTION L ADDITIONAL FEES ASSESSED
Inspector: <5 Date: 7 t \OT, Phone #: (503) 718-
_ . ••
. . . .- . .. . .
CITY OF TIGARD
BUILDING DIVISION 1,1-
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12117/2007
Phone: (503) 639-4171 ealltivoit 4/
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2008 ' ME: 7:01AM PAGE: 33
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-24&3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503452-1984
Inspection Request Scheduled For: Date: 2/14/2008 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
320 Plumbing rough-in 064977-03 503-929.1309 N
Corrections/Comments/Instructions:
)L'\} V -- 13-e-(
\k,fij .......
e _ a...,i2 '
(I
- g; „Ss y PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
n FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
,
Inspector: Date: 2/ dig ____.., .. ... - -
Phone #: (503) 718- 2-4
Th..
. .
. •
CITY .OF TIGARD .
BUILDING DIVISION PERMIT #: I+ ST. ?t10? 00722
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/170007
Phone: (503) 639 -4171 uiu��i llh
Inspection Requests (24 Hrs.): (503) 639 -4175 �-' -_�
INSPECTION WORKSHEET FOR DATE: 2114/2008 T 7:01AMVi PAGE: 31
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1831 - 092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RA.
DESCRIPTION: Add 512 sq ft bonus room over existing garage.
OWNER: RAIA/1..INS, JOHN & HEATHER PHONE #: 503..2i15.3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503. 752- 15t'a4
' Inspection Request Scheduled For: Date: 2! 14 1 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 064977-06 503 - -929 -1300 N
Corrections /Comments /Instructions:
L-1A., k a_ 4, c QLeL)____.' _ ._ - k_ - _,
P --- 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION _
\ ADDITIONAL FEES ASSESSED
V
Inspector: Date: Phone #: (503) 718-
,
. . •
CITY OF TIGARD ' . • •
BUILDING DIVISION PERMIT #: MST2007-00222
- 13125 SW Hall Blvd., Tigard, OR 97223
At ImpiAlit- DATE ISSUED: 12/17/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 06560 SW ALFRED sr CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2/25/08, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072049-02 503-866-6855 N
Corrections/Comments/Instructions:
-4.--- -.Li , ett-lt544r 0 fr 0.-‹ 1 6 - .,_;:',61 : , .41r.:
_
lOria PARTIAL APPROVAL D CANCEL fl NO ACCESS
n FAIL I l CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED
Inspector: - ,A
Date: -77 7-7-21 6 Phone #: (503) 718- .2.1-5PS------
CITY OF TIGARD - ,
BUILDING DIVISION
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639-4171 -4/14100 i ifr
Inspection Requests (24 Hrs.): (503) 639-4175 g...4. - AL
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 23
•
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAVVLI NS
DESCRIPTION: Add 512 sq ft bonus room over existing galage. 2125/08, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503245-3742
CONTRACTOR: FRESH LOOK REIVIODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 6/30/2008 ,. _ Pour Time:
Code # Jnspection Description Confirm # Contact # Message
199 Electrical final 071995-01 503-866-6855 N • .
Corrections/Comments/Instructions:
1 PASS . 7 PARTIAL APPROVAL fl CANCEL ri NO ACCESS
n FAIL 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
1
i ,- Lk15° +R V*
Inspector: rf 1 Dat /1 I Phone #: (503)
CITY, OF TIGARD • ..
BUILDING DIVISION
PERMIT #: WIST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12i 1712007
Phone: (503) 639-4171 —81/4
Inspection Requests (24 Hrs.): (503) 639-4175 sag-AL
INSPECTION WORKSHEET FOR DATE: 206/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991-092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2125/00, Install SER cable from meter to panel.
OWNER: RAW_INS, JOHN & HEATHER PHONE #: 503-245.3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 603-752-1984
Inspection Request Scheduled For: Date: 2J26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 065666-01 503-929-1309 N
Corrections /Comments/ Instructions:
F L "K Z.,00 00p CI Lok,) \
ril PAS 1 7 PARTIAL APPROVAL pi CANCEL 0 NO ACCESS
7 FAIL I i CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: 6 , Nk)eLz Date: 2 -' 2 -1'09 Phone #: (503) 718- 2-Liik
CITY, OF TIGARD a "
, 4 /.6-nif
BUILDING DIVISION
107 v :k alk DATE #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12f 11/2007
Phone: (503) 639-4171
4111--i aft-110,0,1,
Inspection Requests (24 Hrs.): (503) 639-4175 -4 -a.
INSPECTION WORKSHEET FOR DATE: 2J22/7008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 06660 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991-092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 612 sq ft bonus room over existing garage.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-240-3142
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-194
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electiical rougli-in 065501-02 503-929-1309 N
Corrections/Comments/Instructions:
---.
--- 0 - 0 6'
NI (.27 e _<,, �i i'(
) 1 li.-%Z -- 7 - z2 (cD'17 r\i ? c_-- 1 .il 1
_C Fbe__ L.
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L. - ( c" im■ • A d,:i (--- .---
/• idc")'e)t—cfl-- 45 oU i()(
IZC 1 K 0\10
n PASS si PARTIAL APPROVAL n CANCEL • fl NO ACCESS
--r
0 FAI Iii;2, i LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
/ • '- —......... =.,.-_
-
,.
Inspector: _ ,Amilial■-- Date: . e---Z--- &leg Phone #: (503) 718-
Milo
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MS-12007-00222 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 t 7/2007
Phone: (503) 639 -4171 /om,�� �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2114/2008 TIME: 7 :01AM PAGE: 32
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK: 1
SUBDIVISION: PP1991_0q LOT #: 002 TYPE OF USE:
PROJECT NAME: RAVA.1NS
DESCRIPTION: Add 512 sq ft b onus room over existing garage.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503. 2453742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 2//412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 064977 -04 503.929. 1303 N
w i � Ecxef
Corrections /Comments /Instructions: � l
Z (R Q M 0 ‘,1" A LL up fa Ks izo S w Y ,
b`r v L_ L_I er p - 4• 1 s (\Ll,1 ► 6 0 .
1\a.‘"T . i 0 . cf_
' V\ ► C co(UZ sf k w 1 (LC
IN r4 Pt -- 1 1■_ 1--(3 k.) \I 07 „..,16C1 t
_el OqG - kr-a '. (, ` 1 A 6 ‘ r --- Wt\ 0'4
P.% V Cc --- \ki\:■T a_.
n:Itsik0 _ rwi 8 Fbl. 5''S t c-E .
I I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 6 3 j 1. Date: 21'k' 0 Phone #: (503) 718-14
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J17/2007
Phone: (503) 639-4171 al i i ik
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2/25/08, Install SER cable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 603-752-1904
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 071995-02 603-066-6866 Y
Corrections/Comments/Instructions:
.r'S /Uee ri Z a LA.,- ' 7 if • i cri2.-- d., i 2-- 1._ r2-0 -
. ir ,... . -- I, . -....■ ' - ...A . -..f - .. • - A. .
n PAS El AIL PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
F CALL FOR INSPECTION
A ADDITIONAL FEES ASSESSED
Inspector: / Date: .6-:go---ere Phone #: (503) 718- 2.-cirza
CITY OF TIGARD
BUILDING DIVISION f PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/170007
Phone: (503) 639-4171 iz #,,,,
Inspection Requests (24 Hrs.) (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/7/2008 IME:,71:00AM PAGE: 3
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWUNS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2125/08, Install SER cable from meterto panel.
OWNER: RAIAR_INS, JOHN & HEATHER PHONE #: 603-246-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 603-752-1984
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code /inspection Description Confirm # Contact # Message
242 Interior shear walls 066308-01 603-929-1309 N
Corrections/Comments/Instructions:
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t
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f .
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■
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El PASS fr; - A R T I A L APPROVAL El CANCEL n NO ACCESS
El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: \61 (te___--, Date:/ --
Phone #: (503) 718- .2— 2-4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211712007
Phone: (503) 639-4171 ,..„.. 11911111 1,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/60008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 06561) SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAVVLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage.. 2125/08, Install SER sable from meter to panel.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REIviODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 3/6/2008 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
247 Interior shear walls 066166-01 503-929-1309 N
Corrections/Comments/Instructions:
1 0)
k ,I) A_D -11:012/ ■
Ll P S n PARTIAL APPROVAL
n CANCEL
FAIL fl 17,0V
CALL FOR INSPECTION
n ADDITIONAL FEES ASSESSED I I NO ACCESS
FAIL
Inspector: .
Date: 3- — 5. Phone #: (503) 718-
_.-------,
CITY. OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211712007
Phone: (503) 639 -4171 1 "`"' 1�movil i ti
Inspection Requests (24 Hrs.): (503) 639 -4175 �_'
INSPECTION WORKSHEET FOR DATE: 314/2008 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 - 032 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2/25/08, Install SER cab";e from meter to panel.
OWNER: RAW1-INS, 4OHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752 -1934
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 066072 -02 503-929-1309 N
orrections /Comments /Instructions:
t ♦ _ G� �. mo - C A-&-L_ i
—
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n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
` +` IL / %� C ALL FOR INSPECTION f ] ADDITIONAL EES ASSESSED
Inspector: w Date: ' °g' ' °g' ` Phone #: (503) 718- Z_
7
CITY. OF TIGARD
BUILDING DIVISION
A, PERMIT #: MST2007-00222
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 12117/2007
Phone: (503) 639-4171 400 i t' l l\
Inspection Requests (24 Hrs.): (503) 639-4175 112.
INSPECTION WORKSHEET FOR DATE: 3/4/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991-092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage. 2/2E48, Install SER cable from meter to panel.
OWNER: FZAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-19M
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 066072-01 . 503.929-1309 N
Corrections /Comments/ Instructions:
' I _ Z___ 2 c.,i fr P — •
i
_ .
r9 P■ ' S I
I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
.._
411110
Inspector: A A.--.........._ Date: ,-- 4 1, 7 Phone #: (503) 718- 2C./
...
411111
1
CITY. OF TIGARD
BUILDING DIVISION ,.
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12117/2007
Att
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 4
I
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991-092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 612 sq ft bonus room over existing garage..
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 6M46-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 603-762-1984
Inspection Request Scheduled For: Date: 2j2M008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 065501-03 503-928 N
Corrections/Comments/Instructions:
a- /c/- 08 C;ck)
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n PASS .4,_PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL n CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: /7- Date:02 1. Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 7J11/2007
111/2007
Phone: (503) 639-4171 li
Inspection Requests (24 Hrs.): (503) 639-4175 ...„11. --1J—
DATE: 2122/2008
INSPECTION WORKSHEET FOR TIME: 7:00AM PAGE: 7
SITE ADDRESS: 06E60 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1931-092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft. bonus mom over existing garage.
OWNER: RAW.INS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503-752-1904
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Inferior shear walls 065501-01 503-929.1309 N
Corrections/Comments/Instructions:
•
0 PASS PARTIAL APPROVAL 10 CANCEL n NO ACCESS
0 FAIL F FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector 5's Date: 4 Phone #: (503) 718- 02%23--
CITY OF TIGARD
BUILDING DIVISION .
PERMIT #: NIST2007-00222
13125 SW Hall Blvd., Tigard, OR 97223
Ah Vil& DATE ISSUED: 12t7noty7
Phone: (503) 639-4171 4w , ilogi i i 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 0E660 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
. PROJECT NAME: RAWUNS
DESCRIPTION: Add 512 sq ft bonus room over existing garage.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK RENIODELERS INC PHONE #: 503452-1984
Inspection Request Scheduled For: Date: 2/14/2008 Pour Time:
Code # (1 ›Opection Description Confirm # Contact # Message
235
)._
Shear walls/anchors 064977-01 503-929-1309 N
Corrections/Comments/Instructions:
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El PASS $ APPROVAL III CANCEL 0 NO ACCESS
0 FAIL r CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1Vt
Date:2/ V r Phone #: (503) 718- 2fit 2-4-
CITY, OF TIGARD
1 BUILDING DIVISION PERMIT #: MST2007-00222
I 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 12/170007
Phone: (503) 639-4171 tAlk
.t.witi,ti 14-
Inspection Requests (24 Hrs.): (503) 639-4175 ,..41k 12...
INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME. 7:01AM PAGE: 34
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAVVLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage.
OWNER: RAWLINS, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/1412008 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
240 Exterior sheathing 064977-02 503929-1309 N
Corrections/Comments/Instructions:
__----
PASS ri PARTIAL APPROVAL fl CANCEL El NO ACCESS
FAIL ' I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 2,/
Date: ' L-C ° '.--- Phone #: (503) 718: 2- 1
. ‘.
•
CITY. OF TIGARD . .,
BUILDING DIVISION
A PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,4191'. - AL
INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AIVI PAGE: 46
SITE ADDRESS: 06560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus loom over existing garage.
OWNER: RAWLINS, JOHN & HEATHER • PHONE #: 603-246-3742
CONTRACTOR: FRESH LOOK REIVIODELERS INC PHONE #: 503-752-1984
Inspection Request Scheduled For: Date: 1/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 063196-01 503-929-1309 N
Corrections/Comments/Instructions:
da /7/6) 6. ) , 1 2 1-4----4s ex., s-, ,-;----.
'ID
4,4/.7
_ -
0 PASS D PARTIAL APPROVAL El CANCEL 0 NO ACCESS
IL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
/
/
Inspector: ,-
A Date: t---- ( 1--- Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00222
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2A)07
Phone: (503) 639 -4171 / ,n gputotil+
Inspection Requests (24 Hrs.): (503) 639 -4175 AA
INSPECTION WORKSHEET FOR DATE: 12/2012007 TIME: 7 :01AM PAGE: 28
SITE ADDRESS: (16560 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: PP1941 -092 LOT #: 002 TYPE OF USE:
PROJECT NAME: RAWLINS
DESCRIPTION: Add 512 sq ft bonus room over existing garage.
OWNER: RAWLIN S, JOHN & HEATHER PHONE #: 503-245-3742
CONTRACTOR: FRESH LOOK REMODELERS INC PHONE #: 503 - 752 - 1984
Inspection Request Scheduled For: Date: /2/20/2007 Pour Time: • 2:00
Code # Inspection Description Confirm # Contact # . Message
06 Footing 061938 - 01 503.020 1309 N
Corrections /Comments /Instructions:
- .. E A 4 4 - 44 .'St d am , -- 14'-- C ' ' ' � W t " n - r • rcJ - 2 /4Z
—ets. s --u- /..(. s u.. -- �,— .) , l :. ;
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' PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7
Inspector: ,X
Date: /2--Zv — d7 Phone #: (503) 718 -`
. . , .