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Permit
, pr, ` C I TY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00344 COMMUNITY DEVELOPMENT DATE ISSUED: 1/30/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DA-04900 SITE ADDRESS: 06605 SW ALFRED ST ZONING: R -4.5 SUBDIVISION: KINGS VIEW LOT: 034 JURISDICTION: TIG Project Description: Remodel /Addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 116 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 116 sf 20,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1 ELE FURN > =100K: UNIT HEATERS: HOODS: 0 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: 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 FDR: 5 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 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 & 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 PETER & HEIDI BAGGENSTOS OWNER laws. All work will be done in accordance with approved plans. This 6605 SW ALFRED ST 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: Contact #: questions to OUNC by calling 503 246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 758.85 REQUIRED ITEMS AND REPORTS Issued By : ,LL4' Permittee Signature-. , %%. Call 503.639.4175 by 7:00 a.m. for an inspec - at busi -ss da This permit card shall be kept in a conspicuous place on the job site u co • on of the project. Approved plans are required on the job site at the time of eac I - pection. t a, „ , n Cisrr t 1 t .. , t ,. r r {( ::!: i ' F .'t : Building Perm Applicatio> E F ,` E E , p: ', > n , , , 101( 0 1 F / IGI LJ L O L1 F u ,. Ai t 5: IPI City of Tigard Recei en3 /,;?.- a0 ! I, Per,n:t r `' a V o6 .i ° 13125 SW Hall Blvd, Tigard, OR 97223 E C 2 9 2006 Plan movie Phone: 503.639.4171 Fax: 503.598.1,1,60_ Date/BY Other Pemut: i Inspection Line: 503.639.4175 4-111 %J i €. < AD Date Rea 1 • Q . tw ® See Attached Checldist for , T I G'A,RI� ,.,, .:I ;.':'' ,! :. Internet: www.tigard or.gov BUILDING DIVISION Y Y ISION Notified/Method:/-: 3 a 0 7 ( 774-- Supplemental Information 1 R'"V 0 all c,eJ N„.ci \A ,✓ l' —eke% r'r'.,i. ."� . &„�"Pt. y >�s'•: ``c.;• •` „o.�+_ � - .,.?rt.' "� °” e:#` ''f�.rx 3€" ,1a ''� . ,,s. :e ,.: r < , ��sa�n�i!s.�:� 7 w. ,�� - .r_t -rs ;.erx"xa, �:.�. v raai�� F ` i'-tt 5,- ,, ", f t? i7 AT�A 1- itailILY -DWEI 1 v: n •. OF a1VORKd a z r ` � ' REQ IRED.D C : :� = ,y,.� �4t +, -? i� 'Fa" �r� .. .AI's �. �. �1'^ ,,s .��.i 3, ^re "_q�,?. .m s s�W,' r �.., •,� -.c., ,,,,•••*" . � .. _ ;r�r :..rr; .a fit. a..> *w:�n. *, �- .�. « v ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all K Add ❑ Other: equipment, materials, labor, overhead, and the profit for the •i ;i :lC'+ €nyu ;�' ", ..- �d ^c'�,'. FM .fix �a'u :w.;. -4 �.z. ... S. •"G.. �,�s'�m:. work �: ,.: *.: s <,�,�"' �,.�, -�:x r�° *, ,�. .w,'r wor indicated PP .,,, .era f -. ,, "�" CATECORI� ' UF' GONSTItUCTIUI. . z :t : 4 on this application. , ., �. '� ° -w, , x w�a�. y .�'�. �_ $. - a:,a.� ..; r�, wa�,s., - ;, vrs r ,»� ;' fo, �r'��..:rx- sea;'��s4t"�'^B.�. and 2-family dwelling Valuation: $ y g ❑ Commercial /industrial �� 112 Accessory building E] Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: y . ,�. p, �.. r k Ta.. .Si . t,;,..,.. #1.1,1 -. �.,. , .F" y l.t " -y �:'T.`LC4P - -'m F , _ ,... _ uS : � ^ ' - . Jo : SI T Es'�INFORMATI < N" r "� �. . Total number of floors: / . i _ O .r ra s re . . x, .ea•..•.,r.• =� �.. ",,,, uc,'� ...,b_ .. a�' -c e.- „.,..�,"tm�?� °>.3;,S�an., C'�.•` Job site address: 6 OS .s LA R ‘, `-'-- New dwelling area: square feet 42 City /State/ZIP: .7 " c • A ©1'e jc9IN- Garage /carport area: square feet t f Suite/bldg. /apt. no.: 1 Project name: b A g e hSTa Covered porch area: square feet S Cross street /directions to job site: 6,r2 A0 ..e C JriS `v i . e T Deck area: square feet Other structure area: square feet r R EQ UIR ED; D ' AT A9' , -0 0 0MhM � E1, ,C , - U S E` CII E C I CLISTj � ., ... .. ..- �.'� .. 3 x. �.,2+ ^ ^ .: " i• ': #�•'' ^bY.:' d�f.S�:::r. 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 1 , »4% A „ ,<� h TM equipment, materials, labor, overhead, and the profit for the F :,, 1 ' ,., y , DESC R IPTION i •,- - WO -'_ work indicated on this application. ` 0- ft r X l t 1 A.7 A) CIO —/ G„Au-v1 t i 1 OA Valuation: $ R PIA/ 1 . 1 P� g Al x o?. al- tk-eyvio h -e[ , KO-K -P� Existing building area: square feet ✓/ Litt 9 -_ e /' f/ ∎ --c . „2( j A vy New building area: square feet ... n e ., R PEItTY O : I ' li 1.. ,. - f t , - �;° . _... ,„ -"_- ._ • . r< . ..,.; -4' 9.6 s•« :. ,4 ' -e I . .n 4' , ;r ! A1.^1; ;x. ®; ; 4 '„” Number. of stories: Name: pt1771--e r A- {tell); � }�.r 1 c Type of construction: Address: 65� s c . it;) I ri_,..,, s 7 Occupancy groups: City /State /ZIP: ig -/ S A y.. 7 rrcd /4 Existing: Phone: ( 5-0S) ) Sd -a(P - -7 Fax: (w (O - Q New: �.:..�-><_< � ) °2 � ��U w r.?. . : 44—=x ' � , :•-c;-••�', :'4,6 r] .., 1 t , fi r..''''''..,i"r. . .�, r., ; ';-r' V '' � - i ..,,� toy', rAPP,LICANT' q;.fp.nr. 6` "� .,;�'•� � `mCUIVTACT',::'PERSONi�%.' s, t��,.'. �s lLLd ,• �.< `'•r' "'-' r' . ?_�: -...e r � r x K.�,��;az,. . a •. = ” n' . ?..' ., ,.. {.rti- .. a 1§ i,;; �: `' . M, NOTICE':,,v , A '.a`,� ) .a� . ;'_.. _ ..•�� ",:� --' �;�,. �-: . - � ... � #' c - . � x Business name: All contractors and subcontractors are required to be Contact name: "\--3e-Te, .e.,k4 licensed with the Oregon Construction Contractors Board 1� under ORS 701 and may be required to be licensed in the Address: ,013 St� ` {. 1-1-Go . y jurisdiction in which work is being performed. If the 1) jurisdiction is exempt from licensing, the following reasons City / State/ZIP: 1.-UQQ.c'�L R N^ bi 5 - la 11' f,// apply: Phone: (S ) " )6C c)- 7 Fax:: (c ), ( j( ber E -mail: k 1 lh l Ge a zAST • 1 44 0 7 P , '�`'t- sI. - %,� r o x a lsy �' n ' 1 , Yw'r, -a ,"TT- • r:� "�. '. ,,. ^;_:;`. ,-"'`. ate= ' ,,, ., r .'T' -- RACTOR " ,. "':,"; .r, "•_ . Business name: W � •. �t~'T�. V.1,._11 ..Tr ^-z ^' Ye,,, �,=�' ";BUII:DIIVG'BERMfT'FEES* ;:,: ' ���.'' -` r :'g : a ° Plea3l: re er[n1 ee iiiedu(e a' tl .. �.fF.,:lpI � , "' Address: { 1 I \ ' Structural plan review fee (or deposit): j \ O,. w City /State/ZIP: `L Phone: ( ) Fax: ( ) • FLS plan review fee (if applicable): Total fees due upon application: CCB lic.: / �/► - Amount received: 'S ©„ " Authorized signatur -: ,/ - �' .. � ,/,.2' f — o � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: "a' - Date: IL _AI . ∎ ± . :_ s - . , war • Fee methodology set by Tri- County Building Industry ■ Service Board. , 1:\ Building \Permits \BUP- RES- PamitApp.doc 03/21/06 440-4613T(11 /02JCOM/WEB) One- and Two - Family Dwelling A° Building Permit Application Checklist - , t ,; � Y 4 ry - " : i � o l 2- -- c al ixs O N r L t -.. i. Ct of T' and . . . Received 114 Date/By Permit No 4 13 125 SW Hall Blvd., Tigard, OR 97223 ' f AssoaaIed rmits: ®;;.- Phone: 503.639.4171 Fax: 503.598.1960 Pe T I GA K'D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical „,,,, - Internet: www.tigard- or.gov ❑ Other. `' 1 NE,FULI O :I -AR FO ;R ` P Lf�t N REVIEW.,,..' ° " �•.; r ' `tY es � - !.' 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. 0 ❑ ❑ 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 0 ❑ ❑ 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- 0 ❑ ❑ 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. 0 ❑ 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be : • 'licable to the •ro'ect under review. ,� tURISD 1[ �S EG1F'ICS r ` :.. ,. s ,'0,4 � ' f� 4 " ; �i., r� "� z { -� � � 4 . . a. i$.i ", 4, , ■ `- ,, . , .�:,. �%N TM. . ,t ; - s. m ' 4 '� '.. �",. 'r t .;‘t x #^ ` .tA t .: y r h ` - - .a � 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. ❑ ❑ 0 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. 0 ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard 0 0 0 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, 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. r:\ Buildineermits\BUP- RES- PermitApp.doc 03/21/06 k to Plumbing Permit Application R ' ,:i g.QL.. ii,,.:>: ',..!,.,..,',,',`,.,, F.0 It OF HCE; IJSE.` sil.v.z *,t:!..'„ ,',..; =",',. - ; ...^ L '', ' ' -, -M : ' ' '' ; .. ' Y ' I' . .. ' ' .1 7, r .! . . '. 4 ' ' . ? ' '...' -ilk ',4 ' ''. ::'''' 1. :“ ;1 ,. ! '' . , l': '7, : .: '1 ,!..`-■ ' '.: 2 Date/By Pennit NoN 13125 SW Hall Blvd., Tigard, OR 97223 DEC 9 2006 Plan Review - 0 iN lg II , T Phone: 503.639.4171 Fax: 503.598.1960 TY C.147". liE D ate /B Y Other Permit No.: a •: 13 "1' Inspection Line: 503.639.4175 BUILDINC DrAP!etN Date Ready/By: 3 uris: Fa See Page 2 for Internet: www.tigard-orgov NotifiecVMethed: Supplemental Information 4 , 4 'f...ff ".",,' int4.ff4V,*,,i Vriiiiebrii.VolikAV ,./; .Pfef."W 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection) SFR (1) bath 24920 V.I.- and 2-family dwelling El Commercial/industrial SFR (2) bath 350.00 0 Accessory building 0 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 0 Master builder El Other: Fire sprinkler ( sq. ft.) Page 2 '.,,,:k.,':„:4tig,',11,:fM": . 1 4, Site utilities Job site address: j / q \4 4spa_ S 1 Catch basin or area drain 16.60 City/State/ZIP: --i \ C_. A r. (c) (e50 Y1 Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldg/apt. no.: I Project name: }'?..... f vi t i .. i ..rA Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 c-. 6.:,.. 4 k9 - e--- -r-- 1.91-)/,--)) *)--- Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: _ ) _ Page 2 I Fixture or item Tax map/parcel no.: Absorption valve 16.60 ..,...5. • .4.4;,-- i, , , ,%„, ; k....,.,- .f „,... , ,, ! , ,, :,..„..,.., -at A' r, ,,,,, , ..:,-,;),,,,, ..-, 4 :: . , , 1`,, , Z , ,,Or*.:`:"' - .3 , .' 4 ,..;.;" el Back flow preventer Page,2 V1 -c() .1,- LA .A r v V-40-KD 14A /f ,„ Zp,-v I Backwater valve 16.60 Clothes washer i 16.60 ital. 14-G ) .1 - t ° V14 obe , i K_;')- r I,t.e ,..._ Dishwasher 16.60 ''''' ' '' .4 4iilEiliiViileiVrsii i Vi.iflr.r.45 t Witri. " &trNf 4 OVilitgeN Drinking tbuntain 16.60 Ejectors/sump 16.60 Name: V-e r- -3-%ave 5 .4 hi t-i'f'; N ik otiS 54°1, D 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 AP ...;; 7,„ ,.:,,, ,.. 7 ,, , ,, ; , ;;% - ;i4 , 1 ,„,,, w7 .,,,,.-„, ; ,,, Hose bib . 16.60 • ....7.1 '''P. ". - " Ice maker 16.60 Business name: Ow -vve kr Re,`, ( :b ,.p V trap 16.60 Contact name: ). S? ....c.. k oke.14,R1(A. Medical gas (value: $ ) Page 2 Address: .,p, 6 ,S . ) - 4.:',)-0 ( _ bj y Primer 16.60 Roof drain (commercial) 16.60 City/State/ZIP: Si v e 1/01, 0 `e5 0 in Sink/basin/lavatory 16.60 Phone: (c ) 7/(icSo...0„c„ S -) Fax: : ) 2qb (60 Tub/shower/shower pan 16.60 E-mail: IC) V) 6 )10 / 7 ( al il e7A--t) . tivrt Urinal 16.60 ,•,...........,, j - 1 L • y .4.„..--, t . : ,,„ - ,..-,,7, ,,.. ;,, 7 . , , .2> '''' ''''''; ' ? , .77 ,: ` ''' ' ,- .:4 '''''." :"-' ..' ' : , 77 ' .:1 Water closet 16.60 Business name: 0( ,t) vt-e r / i C-1`e)----.- Water heater 1 16.60 Other: Address: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential back flow minimum permit fee: $36.25 Plan review (25% of permit fee) CCB Lie.: Plumbing Lie. no.: State surcharge (8% of permit fee) Authorized signature:, - - AL . - - •-* 7 -4 e-4 1■ 11110. TOTAL PERMIT FEE Print name: 9,...„.. It. le c , Date: ,... ,0_6 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. 1ABuilding \ Penults \ PLM -Pam itApp .doc 06/26/06 440-4616T( 1 0/02/COM/WEB) Plumbing Permit Application - City of Tigard. Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: F ) � , �"'yt•r S>tte i7t>!Lhes _ e(ea oral .i S uare Footage Footing drain - l 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 Sewer - 1st 100' 55.00 3,601 to 7,200 $220.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service -1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 . aluatton. Storm &Rain Drain - 1st 100' 55.00 y � $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 Future ��"` e' o or xItemi ; h W , tw ; I ee'(ea) '' Total. additional $100.00 or fraction thereof to and % �f; ; ;�: :�+' ��si��f s , . `��:,u '�-��;� �., 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 Back Bow Prevention Device each additional $100.00 or fraction thereof; to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof; to and including $50,000.00. specially requested inspections -per hour 72.50 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: forkPluffitiin r�installatio "ns ;g�� g. Are you capping, adding or replacing fixtures? 1f "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 Quantitby (Fiattire) Work Perforriied ,x greater, except systems designed and stamped by licensed y Fature Tyre �� engineer. �,� *�'tw' ," P e ions Capp''' 'deFs,sun& ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 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 m�7. ' .: ., ;,M_. IsoIlletriC ,.... , ._ Drinking Fountain i " w Ut' ;1Sei': DIaI.,I'dm z� 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 Comments regarding fixture work: Garbage - Domestic Disposal - Commercial -Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Bradley fees assessed for the sewer increase must be paid before the - Commercial - Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i ! Building \Pmnits\PLM- PermaApp.doc 09!22/06 . • . ,,,,,,,:,,,,",-064.;,..,,:v,,v.,,ip,044,21,,,,t.x.v...iv.:,,,,.,.,n4T-A,..41r±,44Pi'',74..N.P:i'g,-:‘,VAogf..'s.i.Wila ' Electrical Permit Application 4. -k• ,i-,------n ' ' ?gittli, ;A,'--4 :',1..4 IT.Y ':14, ni4.'‘gt'44 ,,, , •, + ■ ,, ,.■ City of Tigard Permit No. \ ..... A 4 -- e0 ... 3 , c.,/ A :,,:.,-.■ '•:'''."". . q 13125 SW Hall Blvd., Tigard, OR 97223 '-'----- - ' '' ''' t -- pl an R ev i ew Phone: 503.639.4171 Fax: 503.598.1960 1 114 uEC 2 9 2n nr, Date/B . Other Permit: 4:1 Aili161 Inspection Line: 503.639.4175 - 20 06 Date Ready/By: Juns. ta See Page 2 for • Internet: www.tigard-or.gov C:-.4 i ,....,,, i -. ,.,. fr,..4rt Notified/Method Supplemental Information 'k.-::*14''.1■ 6 , '<'• 42 Wfr•O'r , `:Nt , '''!1 14. 4ii c ZP•9•giiiii;:e f bitilfaitlalAigt!7,10,V416Y;',-VP.:41,44-:;•”1! &. ' . :1 4 r, f trA • 1 :a , ;.,.:'.:r...,- .,'1,,I,X,, N- .'',4 . :).„.. .,..e ..,,,.....:„.,!, 't',!..: ;i0 ' ,..' - , enr.:'1 .: - . • - - , - -- ; '''' \ ' '''' ' ''''. ' ‘' ,,t•- 1:3 New construction ii5r6.ddition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. • 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. g1)4.1iti`$44.?5*-$.t;f":4/.'44.0St.:40,00.1.1:*-1:0iTON57.110•0:i0Kt44mtve:,.vr,-*: exceeds 10,000 amps at 150 volts or 0 Floating buildings . less to ground, or exceeds 14,000 0 Commercial-use agricultural A- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family El Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or larger separately derived system. i; ,/, , .,,,,,,..,.....,,...„ . .. p ,., i ,,_...._- . . ! ,... 1 „ . .... y. j. ...,.. 2v „,., 4 , , 0 Emergency system. 4- YR4 0 Addition of new motor load of 100HP or more occupancy. Job no.: Job site address: 6,eS Sup A te ST o Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: .4f.Fiii ThlAlih CD 1? .5 n n 0 Health-care facilities. 0 Hazardous locations. 0 Supply voltage for more than 600 volts nominal. Suite/bldg./apt. no.: Project name: 12 )(11 q e hsias 0 Service or feeder 600 amps or more. , ,I i I■nr44 3 00 ,: ;iF,Ft.: , :e0EP,uP. - 4M4fifia r tir:v1,1:. Cross street/directions to job site: ....ion I Qt'. I Fee. I Total I • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 7,,i1,0•;,4.i'4954it.$:.4.01:i4tiKiiti';:*".01.i.k,';:,'"'0'.1,P.,11..:*;P:tlY,,;7:'j7:15J."::*.:":i (with above sq. ft.) 75.00 2 Limited energy, multi-family c AniP Pea) Seta )&e._ 'To kr-PcA C C residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 6 LI) (,c;r) A v" 3 ) VR vx;<(4) V-tr:.1K.estS 9.0 A 0-16 200 amps or less 2 r44,' 6 '''' ' C' e fetfiP'Fillii i 4Diiilltla•t r ali'g I .;'' tsVi'iii■iiii 'T ' I'iv' '' . 106.85 2 ,,, -,- ..., . , .„, .., k -1,..,.!..,..,,,,,,, . , ..,,L„,,,1 ..,,:; ,•?,. „',,.._ ./ „ , :2 ..,... , _.,,, , , i'h g , , 201 amps to 400 amps 201 401 amps to 600 amps 160.60 2 Name: c i D C - le.-. :Z.C. Cr? H `, ta.A,5v YoS 601 amps to 1,000 amps 240.60 2 Address: .e . ;T :::;•S - -- ...„... (.4.3 A _ v _f fr . b s - i - Over 1,000 amps or volts 454.65 2 City/State/ZIP: .1- o re- 6n Temporary services or feeders installation, alteration, and/or ' jorie 7 relocation Phone: ('4R )8..„, ... cs --- ) Fax:Sta )2 96 ... /006 200 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, per panel Owner signature: Date: A Fee for branch circuits with ifi! , 0t ic I teq: 7 -nlr. :-, d. r0 * --: AIlt*k - s: 0 0,;:t?': la: above service or feeder fee, 6.65 2 each branch circuit i Business name: 000 VNer s R,%.... k 'iL t `').-P i / --.-. B. Fee for branch circuits without service or feeder fee, Contact name: ell first branch circuit 46.85 2 Address: '3 -54 ) .....A.1=.‘,1)-Oc . 1A-cA-y Each add'I branch circuit _ 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: \• t )-- \(t vl s . e) r 1 -- 7 . D /1" Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (e.,;(53) - )Ro _Q 6 -) Fax: : ( ) eie. , i°0cP Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53.40 2 5 2 , 1 - ;.. - 1,.:! :1 #1.14.,',:' . 1.. , f,F.-c!::1,i".:4:::;,Tef:,60)StiacTO:ti . :: 'Ori.;?:,;'... Sign or outline lighting 53.40 2 S limited- Business name: 0(.6 vt-er '‘.A`, t_sar--. Signal circuit(s) or energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour _ 73.75 ELECTiRIO•AL Suprv. Electrician signature, required: Subtotal: • Plan review (25% of permit fee): Print name: / Date: 4 ------ State surcharge (8% of permit fee): Authorized signa • - .....:00.7,' TOTAL PERMIT FEE: This permit application expires if a permit isnot obtained within 180 Print name: rt Date: 1%--- ' ■ .2 4 410 days after it has been accepted as complete. • Number of inspections allowed per permit. 1ABuilding \ Permits \ ELC-PermitApp.cloc 05/23/06 440-461 5T( I/05/COWWEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: rant ENT''IAL WOM ONEVR ' , r 071174' ,"� . 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. fCOICIW ALIWORKAONLY 04,4. `, IE Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ C lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ O utdoor Landscape Lighting* ❑ Protective Signaling ❑ O ther Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ 13uildink\Pvmits\ELC- PcmiiApp.doc 03/23/06 Mechanical Permit Application _ _ . _. _ _ _ FoR of IcEus ON'Ll' _ : _ • ' - City of Tigard 6R re t - P, h' Received Permit NoV -6,_,..,,„ - ° 13125 SW Hall Blvd., Tigard, OR 97223 al • Plan Review ' - III Phone: 503.639.4171 Fax: 503.598.1960 J E C 2 9 O 200 Date/By. Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: tads ® See Page 2 for Internet: www.tigard - or.gov CITY Or: S :.:1A? Notified/Method: Supplemental Information BUILDING DON TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction V Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition • Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ l - and 2-family dwelling RESIDENTIAL EQUIPMENT,/ SYSTEMS FEES* y g ❑ C ommercial /industrial ❑ Ac cessory building For special information use checklist. El Multi- family ❑ Master builder ❑ Other: Description I Qty. ! Ea. Total JOB SITE INFORMATION AND LOCATION. - Heating /cooling �` //�� /� Q n Air conditioning or heat pump Job site address: lD�E7®S' S co A •T ire(J�,- •S 1- (requires site plan showing placement) 14.00 City /State /ZIP: ± , 5 A /' ® r7C o'1. Furnace 100,000 BTU ( ducts/vents) 14.00 J Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: �,... t/1s--1.43,5 Gas heat pump 14.00 • Cross street /directions to job site: Duct work 14.00 I� Hydronic hot water system 14.00 6( D 4-Vie Q .4 (It f b S / Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: , Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances . DESCRIPTION OF WORK . Water heater 10.00 Gas fireplace 10.00 3 14 -e t;..1t") t OD C-e P-, 'i S Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 KPROPERTY OWNER ,. ❑ TENANT Chimney /liner/flue/vent 10.00 Other: 10.00 Name: Q �, l „ e r tf N e , \ 1 4 �� C Environmental exhaust and ventilation 11 //�� 1 1- �` J Range hood/other kitchen Address: lJ oS S Lo t (' rra . equipment 10.00 City /State /ZIP: — C A �� 0 t 0 A Clothes dryer exhaust / 10.00 7 7 Single -duct exhaust (bathrooms, Phone: 603 ) 130 -0_6,5-7 Fax: (c0_3) a Yr' V -1008 toilet compartments, utility rooms) 6.80 . . ❑, APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans 3 10.00 Business name: .tom /� ` \ �-- Other: 10.00 �J U U t L+-�� Fuel piping Contact name: W -- 1 ,.c.A. C _5f A S lac $5.40 for first four; $1.00 for each additional Address: 4, 540 ' C c p; ?o (_. w y Furnace, etc. 7 1 1 Gas heat pump City /State /ZIP: E 'rl i 1n 6 6 r e o 14 Wall /suspended/unit heater Phone:t6) '") � 0 2 6 Fax:: (38) ,,? (6 — `00 g Water heater • �/ 4 �y Fireplace E -mail: F 1 N 1 io 7Td l b YTCAST • l/) -(T Range CONTRACTOR • Barbecue Clothes dryer (gas) Business name: 0 CI() ler'e . kL y L -er-- Other: Address: 4� MECHANICAL PERMIT FEES* • • City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signatur This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: r - � ` Date: !a �y�b 6, * Fee methodology set by TO Building Industry Service Board \ I:Building\Permits V�C- PermitApp.doc 04/06/06 440 -4617T(II / /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Totall'Valuation :- . PermitPFee::_ $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 1 n P 1 Fi ,; , r� CC[[}}; rr C nn:� } ,, IIi i' n (4': c t f ' 1 0 7 . S c �4 - `, . _� r �. i .' ER VICES 1, ', 1 . Q 4 4 ,. N . . • 1 0 i '' ' (31)-ii --)--)N3Cf-e. JAN 2 9 ZUUI - CWS hie Nurnbe el II ' C1ea Z \Mite ' Services � ' _ Q;er��t „i,;;l,.,, t ;l ;5 c► „1:. Sensitive Area Pre - Screening Site Assessment Jurisdiction '1 SV'ti` .% Date 1 !' •' 7 Tax Map & Tax Lot j• Q zavg1310 Owner '?;Z,\N- �N1),it1 - 1,1 Site Address tLPpiicar�C SS7`�_.a . �, ` c Company s Pro Address �� 5 \ �4 )-- Proposed Activity s.,171) Q. , ,�:.Lu _ . City State zip s' — Phone �'�I1.t f.�.._ _ , Fax 50 �ft"t 6 l(Jf1L .� Eiy submitting this form the Owner, or Owner's authorized age for representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all . . reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. ceic;al en, beiow this Me elai kye Only iloW this Ihie �__ prrriel use uniy'Do t li ne Y N NA. Y N NA R i r Sensitive Area' CorTiposite Map rr (l -- �� Storrnwater lrrfras ucture Maps C n Locally adopted studies or maps �'"� Other Specify __ �___ __.�_ __� L� Specify 10 '{ (►n/a Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04,-8: D Sensitive areas potentially exist on siWor within 200' of the A ite. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER, If • Sensitive Areas; exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report tray also be required. '} Sensitive areas do not appear to exist on site or within 200' of the site, This pre - screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will .serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local. state, and federal law. , • U The proposed activity does not meet the definition of development, NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comments: � t, •t, - , \ a., "-, h5 �u �,,.r.,qt. .ew. 2:44-.4t • Reviewed Ely: °� � .. e. 1 _. _ _ � Date; -- Official use only .:.' 1 R. sturned to Applicant Mail • Fax y. Counter ... 2,i5 S A', ,d'sG tro ig`vJSy • h1'vlig QfFa�, n 5y 2_ 1 Date By Niwnc: (.C' GA i -510C • Fax: ‘.!. q I {' 1 . 61�aa5 • vnt ^ c car,Yeinc a• •,j pg s n ^; __-9 -- —'•,' • Construction Contractors Board Permit #:\ T o 6 - od 3y/ 700 Summer St NE Suite 300 Address: 66 Gs 5 W ''() %(-e, pL, S) '',.'•.,• PO Box 14140 C '. ""`_ :% Salem OR 97309 -5052 r r;,.. 3 Issued by: �f� d ,k Date: / -2a-07 \ '.Phone: 503 - 378 -4621 t 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: Ar 1.. I own, reside in, or will reside in the completed structure. x 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 I W. q�e_V1���'A Ca✓IST k6( 3' 1'c�� 9a) (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 A \ 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. diAlO V 11111-- VIPPF 7 --3a-c' ; =(Si • pe .•1pplicant) (Date) / (White copy to issuing agency permit file, pink copy to a licant. � � PY g g cY P .f P � PY PP � ) Property_owner.doc 06 -01 -04 Acting as Ystur • 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. E I; yer Pesonsibfflties You will, in most instances, be ruled to be an "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 must comply 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/fonnspay.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 l esponsibilities 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 redone. Time: Make sure you have sufficient time to supervise your employees. . . Expertise: Make sure you have the skills to act as your own Oneral corititictor, to co oidinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform 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. doc 06-01-04 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200; -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 /o� Inspection Requests (24 Hrs.): (503) 639 -4175 • W L INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/2212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 048792-04 503-780-2657 N Corrections /Comments /Instructions: NNW, UMW PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: GZ e Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 �_' ��ilpu�� '' �.. INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 38 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048792-03 503.780.2657 N Corrections /Comments /Instructions: • • PASS 'ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector.: — Date: o' Phone #: (503) 718- 2--‘,1. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 ao# A �ua� 1 l Inspection Requests (24 Hrs.): (503) 639 -4175 = a'f L INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 048792-02 503 -780 -2657 N Corrections /Comments /Instructions: PASS M ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL R CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i f Inspector: _ _ Date: �i+! Phone #: (503) 718- Z-gX _ N CITY OF TIGARD BUILDING DIVISION PERMIT #: idiST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //3012007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 5/22 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 048792 -01 503. 780 -265% N Corrections/Comments/Instructions: K P F ASS PARTIAL APPROVAL n CANCEL I I NO ACCESS AIL , ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 6 • Phone #: (503) 718- 2 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 kid/4411 a i Inspection Requests (24 Hrs.): (503) 639 -4175 'L L. INSPECTION WORKSHEET FOR DATE: 5/21 /2007 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel/Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/21 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 048723 -04 503-7811.2565 N Corrections /Comments /Instructions: PL—VIAF - 31 , ,ttr, f 6.-/-&-7- --zic_,4--e____ p/Am-c-____ I I PASS / '' 'TIAL APPROVAL — CANCEL I I NO ACCESS FAIL 7 L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - `■ _' Date: z_// 7 Phone #: (503) 718- 7 y IP CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/21 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048723 -01 503. 780.2665 N Corrections /Comments /Instructions: ���� iN -ASS 'ARTIAL APPROVAL n CANCEL n NO ACCESS (FAIL 4 LL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: Zl Phone #: (503) 718- Z.A� G' CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12006 -00;44 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 ■ / o"�m� o �� ll \ Inspection Requests (24 Hrs.): (503) 639 -4175 „_311- `:_.. INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7 :02AM PAGE: 12 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 048723 -02 503- 780 -2566 N Corrections /Comments /Instructions: PASS 2 P' RTIAL APPROVAL • ❑ CANCEL NO ACCESS K FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: Z/ CT / Phone #: (503) 718- e--CL-ff CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST200 &00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 i n A. Inspection Requests (24 Hrs.): (503) 639 -4175 :....__ INSPECTION WORKSHEET FOR ' DATE: 3/12/2007 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3//212007 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 044658 -01 503 - 780.2557 N Corrections/Comments/Instructions: • d PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /- Dat-: 1)-- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12006- 00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 048723 -03 503 - 780.2565 N Corrections/Comments/Instructions: L A ,� .� .-:[ if� �I A 0Z, 4 ' I PASS P' 'TIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL IP, • FOR INSPECTION n ADDITIONAL FEES ASSESSED r Inspector: `� Date: Phone #: (503) 718- . (Pr CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639- 4171 . Inspection Requests (24 Hrs.): (503) 639 INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01A1vi PAGE: 15 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Eiec;irical rough -in 044658 -03 503 -780 -2557 N Corrections /Comments /Instructions: ><,PASS n PARTIAL APPROVAL I CANCEL ❑ NO ACCESS I I FAIL I I CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - 12/0 Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel/Addition, OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 044658-04 503-788.2657 Corrections/Comments/Instructions: WA W 4-71,4-bigiii(4 • 14 PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED irgir Inspector: Date: Phone #: (503) 718- r-: 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 / IM��ii114 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/1212007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/1212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 044658-02 503-780-2657 N Corrections /Comments /Instructions: Ida. PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS I l FAIL I I CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , p Inspector: Date: ', // � 7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION A . PERMIT #: MST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1/30/2007 Phone: (503) 639-4171 t Inspection Requests (24 Hrs.): (503) 639-4175 ,.^^"' . --.' INSPECTION WORKSHEET FOR DATE: 21812007 TIME: 7:03AM PAGE: 12 _- SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: ., PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel/Addition, OWNER: BAGGENSTOS. PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: ' Inspection Request Scheduled For: Date: 2/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 PoWbeam structural 043132-01 03-780-2657 N Corrections/Comments/Instructions: ) P[ 0 V / ------- C K ' __ Li Fl (L / • b Ell PASS FA PARTIAL APPROVAL fl CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C..ii-le Date: 14/07 Phone #: (503) 718-Z61179 CITY OF TIGARD -, BUILDING DIVISION PERMIT #: MST2006 -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639 -4171 k7 � �� Inspection Requests (24 Hrs.): (503) 639 -4175 =�� °=__.. INSPECTION WORKSHEET FOR DATE: 1/3112007 TIME: 7:02AM PAGE: 50 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: Q34 TYPE OF USE: PROJECT NAME: BAt3CENSTOS DESCRIPTION: Remodel /Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/31/2007 Pour Time: 10 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 042723 -01 503- 780-2657 N 265 ,zo o f7,-_5 - Corrections /Comments /Instructions: 10 1 ,152796i— 5 y o Lre.44. -t cam.. ,-.c - &Z A r _ - - - , i w 4-4, c_ ,.L....- • ASS ❑ PARTIAL APPROVAL ❑ CANCEL - ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f Inspector: ' Date: /— . 1 —a'7 Phone #: (503) 718 - .2.51-51-S--- 7;- CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2006-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/31/2007 TIME: 7:02AM PAGE: SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: BAGGENSTOS DESCRIPTION: Remodel/Addition. OWNER: BAGGENSTOS, PETER & HEIDI PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 042722-01 50.780-2657 Corrections /Comments/ Instructions: 0 WO&C2— € WAR-F: 6 . Q i. t 611_ • }gf<ASS El PARTIAL APPROVAL LI CANCEL I NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: K1 Date: 1 / 3J 0 Phone #: (503) 718- rah