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Permit r M CITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00278 _: COMMUNITY DEVELOPMENT DATE ISSUED: 12/27/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109BA -00200 SITE ADDRESS: 13656 SW ALPINE VIEW ZONING: R - SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 010 JURISDICTION: TIG Project Description: Kitchen remodel & addition. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 44 of 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: 44 sf 75,000.00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FOR: 1 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 it 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 RANDY & STEVE CLARK MATT LARSELL CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This 13656 SW ALPINE VIEW 4112 SW PASADENA ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 PORTLAND, OR 97219 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 819 - 7291 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 66008 TOTAL FEES: $ 1,320.60 REQUIRED ITEMS AND REPORTS Bolts in concrete / 1 I 9 JIB _ / Issued By : J }���“/,���� Permittee Signature • Call 503.639.4175 by 7:00 a.m. for an inspection that business day. l 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. Bu ilding Permit Application • ''{gL�° ® p ���m° FOR Oil IC`L USL ON LY D Received City of Tigard .... • ---) Penn t N. tY g Daze/By �l � '� _�I \ 11 7� 13125 SW Hall Blvd., Tigard, OR 97223 NOV Plan Review ' , • Phone: 503.639.4171 Fax: 503.598.1960 Date/By • , _fit �� Other Permit: • T I G n R D Inspection Line: 503.639.4175 CIT� QF Il TIGA 2006 Date Ready/By: • i ®See Attached Checklist for ' Internet: www.tigard or.gov BUILDING p1V� Notified/Method: _ i /1 1 41 A Supplemental Information SIO IV Slv 1zi, k • A VM f `M . 1 TYPE OF WORK REQUIRED DATA: 1- 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 19 ❑ Other: equipment, materials, labor, overhead, and the profit for the _,/ CATEGORY OF CONSTRUCTION, work indicated on this application. 2 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ I Q ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 , 4 / Job site address: �T' , ,,,1. v i~ P // New dwelling area: $ square feet Om . / J City /State /ZIP: i &v' - , e 7 2:2_41.. Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: j ` .4 t:_, l,w e y, re imt „ l e i Covered porch area: S 0 square feet Cross street /directions to job site: /y � Deck area: square feet 1 QL4, t t i I . k, V 9 1 1 F-IA./ S tt L Other structure area: square feet _j3 t:.+— X L 1 /IA ° 1'- R. A , . REQUIRED DATA: COMMERCIAL -USE CHECKLIST_l' 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. / \ e i— i A t 5 'p t,vt. f> a. c_., - I {. - ( 1 h Valuation: $ ��� 1 � 9 ' i " o �, Existing building area: square feet S 1. New building area: square feet 126ROPERTY OWNER 0 TENANT Number of stories: Name: '‘;( frkfA% -4- _S' - -e � e- C-1 a r-k___. Type of construction: Address: / 3 'J (/, ,41. 1'41 f.V 1 - �� Occupancy groups: _ ` � I c �Y� City /State /ZIP: �! -• L , < . � � ' Exist g: Phone: CS ) 3 C .-- l / / C Fax: ( ) q 7 2 New: • R .- APPLICANT ' NT ❑ CONTACT PERSON NOTICE Business name: fkodt ,G4 L vr.S _I i t'tS , .v All contractors and subcontractors are required to be • Contact name: M �( licensed with the Oregon Construction Contractors Board p 1'r under ORS 701 and may be required to be licensed in the Address: et ,/ t '_ _f et ca t € J't_, jurisdiction in which work is being performed. If the City /State /ZIP: r+� applicant is exempt from licensing, the following reasons T [`�i {, �Ct;d:t (if pet 49 9 - l apply: Phone: (TO) g l 7 9 1 - Fax"• (._03) .57 y2..?.----7 E -mail: 12A. Y a CONTRACTOR Business name: n/ � e x . r - J � ' v 5 - f t, �. - BUILDING PERMIT FEES* Address: L ( I pA_ s h7 � i S (Please refer to fee schedule 1 City /State /ZIP: Pc, �(c -�al4 � 7 �d GJ Structural plan review fee (or deposit): • FLS plan review fee (if applicable): Phone: (�(J ) g I at 7 _ ! q I Fa x: ( ) CCB lic.: 8'6 �-ax) 7 Total fees due upon application: C' 1/ Amount received: • Authorized signature: �id�d��� 41 r / - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 04 o 171. t_ 61 , r s e L 1 Date: / / f "� //7 6 * Fee methodology set by Tri- County Building Industry t ( Service Board. C \ Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(I I /02/COM/WEB) One- and Two - Family Dwelling ,. " Building Permit Application Checklist 1: OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard OR 97223 , Date/By: li p q 0 ' Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 24 - Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑Mechanical TIGARD Internet: www.tigard- or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No . N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ _ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: _ . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑- ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ • b n protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ ttl' ding 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. 1 I 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, Cl ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be . i slicable to the •ro'ect under review. • JURISDICTIONAL SPECIFICS . p ri Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ a Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ . ❑ ❑ Vim '' 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 T igard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. - ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ' ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i • , :\ Building \Permits\BUP- RES- Penn5App.doc 03/21/06 Electrical Permit Applicatio La FOR QFFICE USE ONLY r 1 Received 'City of Tigard Daze/B Permit No u �� ` , v 13125 SW Hall Blvd., Tigard, OR 972234 V y Plan Review II, Phone: 503.639.4171 Fax: 503.598.1960 Line: x 2006 DaDate/By: Other Permit: • T Inspection 503.639.4175 CITY I 0 LDING pIV16!!l Date ReadyBy: Juris: ® See Page 2for • Internet: Line: gard- or.gov TIDAR Notified/Method: Supplemental Information BUI LDING . TYPE OF WORK • � PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): El New construction El Addition/alteration/replacement ❑ 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 . ' ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB. SITE INFORMATION AND LOCATION " " ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", ) '++ /j ) I00HP or more. occupancy. Job no.: Job site address: l 6� M� / * ia UtQ (/` ! k41 ❑ Six or more residential units. ❑ Recreational vehicle parks. [ . ` ❑ Health -care facilities. ❑ Supply voltage for more than • City / State/Z)P: c - ,� � �( . � 600 volts nominal. ❑ Hazardous locations. Suite/bldg. /apt no.: Project name: �\ \. T qq L w.. ❑ Service or feeder 600 amps or more. �a�1.. �- FEE SCHEDULE ' . Cross street/directions to job site: Description 1 Qty. i Fee. 1 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 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 _ k.. +C, � 4 l( 0- (� !!!///��` Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 -❑ PROPERTY OWNER' . : ' I ❑ TENANT . 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 • Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with . , rE APPLICANT ' ❑ CONTACT PERSON ' • above service or feeder fee, 6.65 2 PA rA ` L a -d`SQ I G each branch an circuit Business name: Q ti, S �. B . Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 44 L eur -8-41 first branch circuit Address: it I f aA, Each add'I branch circuit 6.65 2 VV. s cCt�l Pir't Miscellaneous (service or feeder not included) City /State /ZIP: f et-T (71\ 9 - 7 24 9 Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: (3 ) Pi ct 7 Z.q, 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 name: j/\ 1n C OC WV e ro 1i1. 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: (Sv3) ' (7 4 ©Of 9 Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: / 3 g 7 731 Electrical Lic.: eiL 338 Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES. Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: '/ /l / 3/66 This p ermit a expires if a permit is not obtained within 180 Print name: /S Date: days after it has been accepted as complete. `�, • Number of inspections allowed per permit. C\ Building \Pennits\ELC- PermitApp,doc 05/23/06 440- 4615T(11 /05 /COM/WPB . Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ,RESIDENTIAL WORK ONLYs 1 Fee for all residential systems combined ... $75.00 Check Type of Work Involved: • ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El Other. COMMERCIAL WORK ONLY Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: • ❑ Audio and Stereo Systems E l Boiler Controls El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC E l Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical E l Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations • 1:\ Building \Permits\ELC- PennitApp.doc 03/23/06 Mechanical Permit Application - FoR of n c USE :ONLY - ' eit of Tigard REC WED Received Permit N+ 11 y� �/ • .14 r. Date /By V.1.. 0 D 2) t 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960',1 1 2006 Date/By. Other Permit: 'T IG A R D Inspection Line: 503.639 Date Ready/By: 1uris: la See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION YPE OF WORK COMMERCIAL FEE *' SCHEDULE =USE CHECKLIST El New construction ( 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: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES*, „ l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total . - JOB SITE' INFORMATION AND .LOCATION _ Heating/cooling Alp Air conditioning or heat pump Job site address: / 3 iL' r �-4 . . a 1p ,I , Q7 _ VI “ (requires site plan showing placement) 14.00 City /State /ZIP: -Ht --i i".-- ,R 9 °7) �®* Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: Project name: K l i Furnace 100,0004- BTU ( ducts/vents) 17.90 I �. i of ' I� ' 7 e.l Q I' Gas heat pump 14.00 Cross street /directions to job site: Duct work 1 14.00 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. 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 j 12......4,....,...6- .�� Gas fireplace / 10.00 kt $c-- -t � cit-f .( Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 . Wood /pellet stove 10.00 'Wood fireplace /insert 10.00 ❑ PROPERTY OWNER El` TENANT Chimney/liner/flue/vent 10.00 . Other: 10.00 Name: ,ty " s ci � (4 . {" i Environmental exhaust and ventilation Address: Range hood /other kitchen A equipment 9 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ' . . ' ❑ APPLICANT , ❑ CONTACT PERSON Attidcrawlspace fans _ 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater . Fireplace E -mail: Range i . ... CONTRACTOR' ' Barbecue Business name: L- --ntii` 5 d (r'f ° Clothes dryer (gas) f > 1 ° Other: Address: Lt f it_ 5 vv . f0oc, a z e,14-t S MEC HANICAL PERMIT FEES* City /State /ZIP: p I-1- IQ A i 'a 2-1 9 9 Subtotal A Minimum permit fee ($72.50) 7Q, Phone:(Sd ) 7 2_9 I Fax: ( ) e Plan review (25% of permit fee) CCB lic.: 4 D State surcharge (8% of permit fee) S . %� TOTAL PERMIT FEE Authorized signature: This p ermit application expires if a permit is not obtained within 180 A; s days after it has been accepted as complete. F ee methodology set by Tri -Count Building Industry Service Board Print name: /j�,: � J1• -�I' e...--11 Date: r d �� ,0 ,�j �' y y g 1: \Building\Pemi its\MEC- PennitApp.doc 04 /06/06 44 -4617T 11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation:. Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Buildin PermitApp.doc 12/30/05 2 Plumbing Permit Application Building Fixtures Folz OFFIC► USE .. 0,NLY • - City of Tigard RECE IE ' Rece Permit c- `\ Q � a 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: � 7J(1� 7 0 t : 0 , Phone: 503.639.4171 Fax: 503.598.1960 js. +)`j A 3 2006 Plan view Other Permit No.: TIG n RD Inspection Line: 503.639.4175 Date Ready/By: lens: ® See Page 2 for Internet: www.tigard - or.gov C T ( -t Tr, , � �Rr . ( lNotified/Method: Supplemental Information .rya w - TYPE OF T} _ ' WORK °lt FEE* SCHEDULE . , ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total moi Addition /alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) �/ CATEGORY OF CONSTRUCTION • ' SFR (1) bath 249.20 - 12 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: /3 4 376 _sty, !� ,r 1t �/ � 1 Catch basin or area drain 16.60 City /State /ZIP: ‘"-'� '�''ry A J C.:2 R. *7 *7 �� i, - Drywell, leach line, or trench drain 16.60 o I Project name: 't_e , � ! p Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: v , c" 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 Back flow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 1 16.60 • Drinking fountain 16.60 ❑ PROPERTY OWNER ' ' ❑ TENANT . Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal I 16.60 Hose bib 16.60 ❑ APPLICANT " ` ` ❑ CONTACT PERSON . - Ice maker I 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 Phone:( ) J Fax::( ) Sin ,1 avatory v /C) a 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 ' CONTRACTOR ' , Water closet 16.60 Business name: r- ti c ce IV o v--vv . 04-,itk Water heater 16.60 Address: e j Other: City /State /ZIP: Z y, v k. IAA./ 4 l� CI '7 0 ° -i.,�- Subtotal ` Minimum permit fee: $72.50 cat Phone: (503) ‘6 7 7 ,pc-' Fax: ( ) Residential backflow minimum permit fee: $36.25 Q CCB Lic.: 1 3 3 2 Plumbing Lic. no.: ,, 1 S / Plan review (25% of permit fee) Authorized signature' / State surcharge (8% of permit fee) ( , i II TOTAL PERMIT FEE Print name: �f � �'i Date: MO . This permit application expires if a permit is not obtained within _ , v 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\ BuildingWennits \PLMF- PermitApp.doc 04 /06/06 440-4616T( I 0/02/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":.' a Perniit 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 - 1st 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 ,1 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 for the first $25,000.00 and $1.45 for each additional $100.00 fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 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 ❑ Any new exterior plumbing site utilities. Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities. Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system. - Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918- 780 -0040. Car Wash -Each Stall -Drive Thru Submit 2 sets of plans with any of the above. Cuspidor/Water Aspirator Dishwasher - Commercial Domestic - • • I or Riser Diagram Drinking Fountain ❑ Isometric or riser diagram is required for new buildings Eye Wash that meet the qualifications above. Floor Drain /sink - 2" -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 Sink - Bar/Lavatory *Note: 'If the fixture work under this permit results in an - Bradley increase of sewer EDUs, a sewer permit will be issued and - Commercial fees assessed for the sewer increase must be paid before the - Service plumbing'permit can be issued. Swimming Pool Filter Washer - Clothes • Water Extractor Water Closet - Toilet • Urinal Other Fixtures: is \Building\ Permits \PLM- PennitApp.doc 09/22/06 . Nov.i %iJC6- 2-57PM� °LEA ` SERVICES Fig 1 No.56SS 0. 1/1 L. 0 06 ' Nov p 9 Z r A , De V4 b c't °7 2 r y /x r 0 6 B - - _� a� 7 J CWS File Number i 0g- 00 DI' 0 C IeaAVatei Su :vices �_ __ s i n ,, Ornr co"n rnert is ciciiir. Sensitive Area Pre- Screening Site Assessment t .r Jurisdiction l G � ` & Date g . 'Cax.Map & Tax Lot 2.,,4_,4 -- Owner "- - Applicant � .' ..4-e r`.f -DT Site Address i • ompany .e- , 40a Address , l_f IP/ , 1 _S_..�(e , ,Sf Proposcd Activity City State Zip P r -"t `.1 � 77 49 141/ a t ! o n Phone S _ ! ._.22.,...a .--t k ; i- s,-�fL .. Fax sod_ 45`2,- b' 2l ?---_. By submitting this form the Owner, or Owner's authorized agent or represe etative, , acknowledges and agrees that employees of Ciean Vilater 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. , _ @IAl TI. 9i bPtl%IS Ihln _ eo w __ mote u Jy belowtitfa one -� Mkki lento i lly *Iv this line Y N NA Y N NA { Sensitive Area Cemp Site Map {-- � l . , Stormwatrtr I raetructure maps u map _..._ LJ .. I QS # 4 rr '{ re , ' Locally adopted studies or maps Other L- ! �Iw� Specify - - �` t_„ la — i1Zi Specify_ .. ._. __....._ Based on a revk w of the above information and the requirements of Clean Water Services Design and Construction Standards Resoiution and Order No. 04-9; • . ❑ Sensitive areas potentially exist on site or within 200' of the site THE APPUC.ANT MUST PERFORM A SITE CERTIFICATION lerRiOR 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 may also be required, (r1!( 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 3.02.9. 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 detlnitien of development, NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comments: • Reviewed By: -'- _ -- -- Date: // �/5' ___ ( Ste-- _Y. -e_ Official use only Post -it" Fax Note 7671 ' /i f /� I mes Returner: to .3 plfcarrf Co Fram ' • Ma il __ Fax L Counter ___ • Co. . ;.., .. lute .445/0 � X *r`T Phone * Prone x _ raw a �q u y� Fax 0 i SW3 ' f _2 o • f :. -f i i" 1 w CITY OF TIGARD t F42_ BUILDING DIVISION PERMIT #: M T2Q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212712006 Phone: (503) 639 -4171 A l k b � �illji 'I Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503 -819 -7291 Inspection Request Scheduled For: • r Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 052248 -02 503-819-7291 N Corrections /Comments /Instructions: t i L) rk\ , 0 .-)‘ , PASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: / Date: 7 -(e Phone #: (503) 718- i CITY OF TIGARD ��� �'�� �`"� BUILDING DIVISION PERMIT #: MST2006-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006 Phone: (503) 639 -4171 %dii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 31 ., SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition, .. OWNER: CLARK, RANDY & STEVE ' ' ;' PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: Code # Inspection Description ' Confirm # Contact # Message WO friSC,641 ! 699 Mechanical final • 052218 -01 503- 819 -7291 Y Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL — CANCEL NO ACCESS FAIL II . ALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector :. AV Date: VI- Phone #: (503) 718 - r " 1 t CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -Q027B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12127 /2006 Phone: (503) 639 -4171 l� Inspection Requests (24 Hrs.): (503) 639 -4175 ifilli1011 INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition, OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 603- 819 -7291 • Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 046464 -02 503819 -7291 N Corrections /Comments /Instructions: • WASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �+ k Date: '1l ( 3 ( 6 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION Ab PERMIT #: MST2006-00278 ,t 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AM PAGE: 25 , SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: 'THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 21772007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 320 Plumbing rough-in 043079-06 503-819-7291 Corrections/Comments/Instructions: 1 LfoLA--e---ct fl PARTIAL APPROVAL fl CANCEL n NO ACCESS I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: 7 4 / - 2 Phone #: (503) 718-7)1 r - CITY OF TIGARD ��wm m ��m mn�m��nm�� BUILDING DIVISION ~~~°.~~~~..°~= ~~.°"~~"~~"~ 1 PERMIT #: � kAST2006-00270 13126SVV Hall Bkd.. Tigard, DRQ7223 DATE ISSUED: 12/27/2006 Phono:(503)839-4171 � Inspection Roque�o(24Hmj:(SU3)839'4175 ~� e� INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AK4 PAGE: 30 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel &mdcUdmn. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELLCONSTRUCTION INC PHONE #: 503-019-7291 Inspection Request Scheduled For: Date: 217y2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postibeanop|umbing 043079 505 N Corrections/Comments/Instructions: ' PASS PARTIAL APPROVAL � CANCEL � NO ACCESS / / / . I I FAIL 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED �� Inspector: ��^� \�/ ^~~ Date: qi / v / Phone #: /5O3>718-�)-y' CITY OF TIGARD . • BUILDING DIVISION PERMIT #: MST2006-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006 Phone: (503) 639-4171 4 d a & ,., itilii Inspection Requests (24 Hrs.): (503) 639-4175 _tr INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-619-7291 Inspection Request Scheduled For: —Date: 4/13/2007 Pour Time: --,..._ Code # Inspection Description Confirm # \ intact # Message 199 Electrical final \ 046'464-01 \ 503-619-7291 N ) — CV' ec ions/Corristructions: • .--) A F,LAS I I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (I ----- ° N N2) 1-g Date: At 51 O Phone #: (503) 718 . . , CITY OF TIGARD • ...- BUILDING DIVISION PERMIT #: MST2006-00278 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 12/27/2006 Phone: (503) 639-4171 Vo lt Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7:04AM PAGE: 20 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK ., DESCRIPTION: Kitchen emodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503.819-7291 Inspection Request Scheduled For: Date: 2/9/2007 Pour Time: '• • Code # Inspection Description Confirm # Contact # Message • 120 Electrical rough-in • 043200-01 503-819-7291 N Corrections/Comments/Instructions: , PASS n PARTIAL APPROVAL 0 CANCEL NO ACCESS I ItL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C-14CP Date: 0/ 7 Phone #: (503) 718-1-4/17 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00278 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: i2/27/2006 Phone: (503) 639 -4171 "ail Inspection Requests (24 Hrs.): (503) 639 -4175 ' �.. INSPECTION WORKSHEET FOR DATE: 2112/2007 TIME: 7 :05AM PAGE: 16 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. ' OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 21/712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 043274 - 01 603 - 819 - 7291 V Corrections /Comments /Instructions: • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: , Date: Z —/ 2— 0 7 Phone #: (503) 718 - Z-- i - -.-- -�. . CITY OF TIGARD ' BUILDING DIVISION PERMIT #: M ST2006.0027e 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 12127/2006 Phone: (503) 639 -4171 A ll 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ,..414- `__.. INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7 :04AM PAGE: 19 r SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: . SUBDIVISION: THREE MOUNTAINS ESTATES S LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE. PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503.013- -7291 Inspection Request Scheduled For: Date: 2/912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 043200.02 603.819.729 N Corrections /Comments /Instructions: 4 14__ - 1_4 - i i Cin— IZO CIA,L+ -__T-1U 0 .. • I R PASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS f FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l'. / P Date: Z '1 D7 Phone #: (503) 718 - ZC 4 CITY OF TIGARD : ' I BUILDING DIVISION ,,,_ • . ,... PERMIT #: MST2006-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212712006 Phone: (503) 639-4171 ,,._ 4 r Inspection Requests (24 Hrs.): (503) 639-4175 &.. INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 016 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 2/712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 043079-05 503-819-7291 N • Corrections/Comments/Instructions: , (VZ3-C / ) 1-) C-v. \ b5_,(-- . 5 • _02, 'e- .ci_. ›,,...z _ _AILLs• 1 • . ? . , . -11- 0 q a' (7 0 APPROVAL CANCEL fl NO ACCESS 4. 0 FAIL 111 CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: (/1 CI —L--------. / 7 Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: M31 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 12/27/2006 Phone: (503) 639-4171 I Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 21712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Sheet walls/an eh MS 043079-04 503-819-7291 Corrections/Comments/Instructions: t S5 pi PARTIAL APPROVAL CANCEL I I NO ACCESS I I FAIL fl CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: 2 -I 7 tO 7 Phone #: (503) 718- CITY ������N�������� ��n n m OF m m���mn��� BUILDING DIVISION PERMIT #: M[T2006- / 13125SVV Hall B|vd.. Tigard, C}R07223 44,„1, DATEISSUED: 12/27/2006 Phone: (5O3)838'4171 Inspection Requests (24 Hrs.): (503) 639-4175 ~ INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01A1v4 PAGE: 29 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel &addition. OWNER: CLARK, RANDY &STEVE PHONE#: CONTRACTOR: MAlT LARSELL CONSTRUCTION INC PHONE #: 503'819'7291 Inspection Request Scheduled For: Date: 2/712007 Pour Time: • Code # Inspection Description Confirm # Contact # Message 225 Post/beam strudural 043079-02 503-819-7291 N ' Corrections/Comments/Instructions: PARTIAL �� CANCEL | | NO ACCESS .~� __ __ I I FAIL | | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ��,~��� -� �� � Inspector: VZ/l �� ~~'~-- Date: 7 1 ^� �� ) Phone #� (503) 718- �- / "-~� � / �` ' CITY OF TIGARD BUILDING DIVISION PERMIT #: Sri ST204€ -OO278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12127/2006 Phone: (503) 639 -4171 u� �� Inspection Requests (24 Hrs.): (503) 639 -4175 J _ � _° INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7.01AM PAGE: 24 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: ' PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: ivIATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 217/2007 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 61 Gas line 043079 -07 503 - 819 -7291 N • Corrections /Comments /Instructions: Z___ y � = (4 A Q I 1' • S ❑ PARTIAL APPROVAL CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Y Lam 6 _..-- Date: Z/ -7 4 — 7 Phone #: (503) 718- 2--1/4f Z-4' CITY OF TIGARD • • . BUILDING DIVISION 1 PERMIT #: MST2006-00278 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12127/2006 Phone: (503) 639-4171 Ak . :141 itj 4 Inspection Requests (24 Hrs.): (503) 639-4175 ,_-_..14■ _-.. INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AM PAGE: 28 .. SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: • ... CONTRACTOR: MATT LARSELL CONSTRUCTION INC • PHONE #: 503-819-7291 • Inspection Request Scheduled For: Date: 217/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 043079-03 503-819-7291 N Corrections/Comments/Instructions: ..- / . . !r / - c ) !. ,,,,- _,.. .. ..., 4 / /‘ • . t r i- r 3 XSS---- PARTIAL APPROVAL fl CANCEL NO ACCESS I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: \•I' ‘fe----- Date: -2 -/V1- 1 7 Phone #: (503) CITY OF TIGARD • BUILDING DIVISION - PERMIT #: M9T7 0 0027P, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 19J271,0U6 Phone: (503) 639 -4171 II ' I* i; �1i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2(5/2007 TIME: 7:05AM PAGE: t SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT" LARSELL CONSTRUCTION INC PHONE #: 503 - 619.7291 Inspection Request Scheduled For: Date: 2/5/2007 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 042979 -01 503-619-7291 N Corrections/Comments/Instructions: A-147' 50F/ t)," Le P (7457 h dv��i PARTIAL APPROVAL n CANCEL NO ACCESS I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: . / . Date: Phone #: (503y718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200 .00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2127/2006 Phone: (503) 639- 4171 n p�i�ll1" +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7 :03AM PAGE: 7 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503 - 819 -7291 Inspection Request Scheduled For: Date: 1!1112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 042033 -03 503.819 -7291 N Corrections /Comments /Instructions: t\iL 1 • ''V ❑ PASS 0 PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL n ° LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (,.P Date: IA / Phone #: (503) 718- CITY OF TIGARD ��nn n ��m un����nn�� • BUILDING DIVISION ~ PERMIT #: MST2006-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1312712006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WOR SHEET FOR DATE: 111112007 TIME: 7:03AN} PAGE: 9 SITE ADDRESS: 13656SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition, OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MAJTLARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 1/11/3007 Pour Time: 1tOo Code # Inspection Description Confirm # Contact ft. Message 205 Footing 042033-01 503-819'7291 N Corrections/Comments/Instructions: MoT _ 5, z_c_ _ ^7-7,■„/ 'Ars I PARTIAL APPROVAL ri CANCEL ri NO ACCESS FAIL- 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: CA Date: )///a ^/ Phone #: (503) 718- ` . ' I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2088- 00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006 Phone: (503) 639- 4171 ii jar Inspection Requests (24 Hrs.): (503) 639 -4175 �'f � .. . INSPECTION WORKSHEET FOR DATE: 1/11/200 TIME: 7 :03AM PAGE: 8 M'S T` 5rp6. l �( SITE A RESS: 13656 SW ALPINE VIEW CLASS OF WORK: • SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 0.0 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-819-7291 Inspection Request Scheduled For: Date: 1/11/2007 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 042033-02 503- 819.7291 N Corrections /Comments /Instructions: r t. 7 /- • k ass ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t Date: I ///,07 Phone #: (503) 718 -Z , ' E CITY OF TIGARD BUILDING DIVISION PERMIT #: WM006-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2712006 Phone: (503) 639-4171 „4 fr Inspection Requests (24 Hrs.): (503) 639-4175 I INSPECTION WORKSHEET FOR DATE: 1/1012007 TIME: 7:03Aivi PAGE: 5 SITE ADDRESS: 13656 SW ALPINE VIEW CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 010 TYPE OF USE: PROJECT NAME: CLARK DESCRIPTION: Kitchen remodel & addition. OWNER: CLARK, RANDY & STEVE PHONE #: CONTRACTOR: MATT LARSELL CONSTRUCTION INC PHONE #: 503-019` Inspection Request Scheduled For: Date: 1110/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 041988-01 503-819-7295 Corrections/Comments/Instructions: I I PASS H PARTIAL APPROVAL CANCEL I I NO ACCESS AIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: „ Date: 1— /0— 0 7 Phone #: (503) 718-