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Permit C O F T I G A R D MASTER PERMIT COMMUNIT DEVELOPMENT PERMIT ISSUED: 6/ 27/200 -00080 li DAT ISSUED: 6/27/2008 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103 BA -00107 SITE ADDRESS: 11710 SW ANN ST ZONING: R -4.5 SUBDIVISION: LERON HEIGHTS LOT: 007 JURISDICTION: TIG PROJECT: POTTHOFF Project Description: 579 sq. ft. addition. Mechanical other- duct work. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 384 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 384 sf 36,829.44 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM. INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAIfELE 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 ROGER POTTHOFF SJM CONSTRUCTION laws. All work will be done in accordance with approved plans. This PATTISON, SHANTHI A 15337 NW DECATUR WAY permit will expire if work is not started within 180 days of issuance, or 11710 SW ANN ST PORTLAND, OR 97229 if the work is suspended for more than 180 days. ATTENTION: TIGARD, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 244 - 4334 Contact #: PRI 503 803 - 6424 questions to OUNC by calling 503.246.6699 or 1.800.332,2344. FAX 503 -617 -9713 Reg #: LIC 87241 TOTAL FEES: $ 1,444.71 REQUIRED ITEMS AND REPORTS Engineered soils i A a Issued By - 4.1.11r..."-- ..•-•"" -mil ' °rmittee Signature : ____.. W`- . Call 503.63' 7:00 a.m. for an inspection that busines day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' * N k I*00 : . .Building Permit Application FOR OFFICE L`SF:.O: \L1' a City of Tigard I '., Received ° 13125 SW Hall Blvd., Tigard, OR 923 A\ ®� QD eW �1 ��o p y�I Permit No.: �j/ls` .r� > :7 Phone: 503.639.4171 Fax: 503.598.1960 ��\ � ,.�e ® 's ate/By: . S. : �un 08 Other Permit: T I G A R D Inspection Line: 503.639.4175 ` , . Date Ready/By: � , t See Attached Checklist for Internet: www.tigard - or.gov �� Notified/Method: ( �1��/ �� ' "''' , --t 2 . 3 0, Supplemental Information TYPE OF WOI.1 ' 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 7 - Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application, 3 629. ��y fia 1- and 2- family dwelling ❑ Commerciallindustrial Valuation: $ , �+ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: . Job site address: (` - 1 0 5 to S 4_. New dwelling area: .�91s►-+ square feet 385/ City /State/ZIP: -11 1 ,,,,,,,, ' O e _ Garage/carport area: � --t square feet Suite/bldg. /apt. no.: Project name: M017 galgo ! I L Covered porch area: square feet W Cross street/directions to job site: 4.10.4.1.. Jr. t' 17 • ' � Deck area: square feet I Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to thc nearest dollar) of all equipment, materials, labor, overhead, and the profit for the 1 1 DESCCIU PTION OF WORK work indicated on this application. . � b e..a sc,00ta� A-+ 14"i'o r. Valuation: $ Existing building area: square feet New building area: square feet t . PROPERTY OWNER ❑ TENANT Number of stories: Name: r (0 -1 • Type of construction: Address: l ?/0 cu rt&frt 54.- Occupancy groups: City/ State/ZIP: �1 at ;ea 0 K. Existing: Phone: cc o3 ) a t t - Y.53 ti Fax: ( ) . New: APPLICANT a-CONTACT PERSON L. NOTICE Business name: r„ c -('b Iti, All contractors and subcontractors are required to be Contact name: 114c,4- PA s L licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: us-3 37 0,4 f >Q t_ yt 4.v,L 0,4 jurisdiction in which work is being performed. If the City/State /ZIP: a 4„4 D K. 17 ?-).---f applicant is exempt from licensing, the following reasons apply: Phone: (S01) J i 4,q)_4 Fax:: ( ) E-mail: 412..5 L. tUt,1/4) Q eto(- , C CONTRACTOR Business name: 5) ink itV C4i 0 ri BUILDING PERMIT FEES* Address: 0/1-1 (Please refer to fee schedule) l X33 7 NoJ De,. Structural plan review fee (or deposit): v City/ State/ZIP: 1 td 0!C 7 7)-91- f' FLS plan review fee (if applicable): Phone: (co ) 0 b 03 6 ya c/ Fax: (Sd (o ! 3) ? — p ! 7 CCB lie.: r 7F-/ / 2// t� /, 0/0 Total fees due upon application: a W " 4 ..._. Amount received: n , Authorized signature: `' This permit application expires if a permit is not obtained /_ / / within 180 days after it has been accepted as complete. Print name: jotic_4 r 4 A-K-,S k Date ea 9 a * Fee methodology set by Tn County Building Industry o.._.:.... n.... -a Mechanical Permit Application ` FOR OFFJCE1JSE ONLY "" Received / rq ill C ity of Tigard Date/By: �/ /� £ 677 -- PennitNo.: a ",... .a ' ' a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' (� 0 V Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639 DateReady /By: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: N Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical pem�it fees* are based on the value of the work ❑ New construction p Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ and 2-family dwelling .RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1 y g ❑ Commercial /industrial ❑ A ccessory building For special information use checklist. pi Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: //2/e/ ra) ��jr _ Air conditioning (requires s i e plan n showing heat pump e (requires site plan showing placement) 14.00 City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work / 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances • DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 AM 7 a £ S . it1 15 / 77©"/ 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 Chimney /liner /flue /vent 10.00 ( PROPERTY OWNER ❑ TENANT Other: 10.00 Name: A /00 77J, j/ 2 Environmental exhaust and ventilation Address: 7 Range hood/other kitchen S equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 2 6.80 ❑ APPLICANT ❑ CONTACT PERSON - Attic /crawlspace fans 10.00 Other: 10.00 Business name: 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 CONTRACTOR Barbecue Business name: 5 r , fJ � O Clothes dryer (gas) Other: Address: /5-1J j 9 /v ‘.() AF ‘ 4,/ / MECHANICAL : PERMIT FEES* City /State /ZIP: / h.4) ,/ die s7aa y Subtotal i Minimum permit fee ($72.50) Phone: j ) 1J3 _6 y� / l ' Fax: ( ) Plan review (25% of permit fee) CCB lie.: �.7 2 '/ / State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board I \ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -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. 1:\Building \Permits \MEC- PermitApp.doc 01/19/07 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of 'Tigard R Date/By: la 9 / Permit No.1j /0 _ ow eV .1114 - a 13125 SW Hall Blvd., Tigard, OR 972 a. � O IT Plan Review Phone: 503.639.4171 Fax: 503.598. ' �\ ®.7 (DateBy: Other Permit No.: Inspection Line: 503.639.4175 ,U\V Y e B t Os. VI See Page 2 for TIGARD �' �► a Y Y Internet: www.tigard- or.gov h, ` \ d/Method: Supplemental Information TYPE OF WORK' . ' ` �� �+ (�1 FEE*- SCHEDULE ❑ New construction ❑ DemAttlginS a For special information use checklist Description I Qty. Ea. 1 Total [ Addition/a1terati on/rep 1acement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) 'CATEGORY OF CONSTRUCTION ' . r .. SFR (1) bath 249.20 ' ..1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 ,- . JOB 'SITE: ;INFORMATION, AND LOCATION , Site utilities Job site address: \ \'7 / Sw AAA_ 5,1._ • Catch basin or area drain 16.60 City/State /ZIP: ; t Wi C. { r Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: �� I"i jj b f -Gtel C4-t D K Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.• % �)t4 Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 'DESCRIPTION :OF WOK, R - Backflow preventer Page 2 `r� ,l�LIP:/ _ / r � ; �!`�Y 1 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ ' PROPERTY OWNER ' . ' . I, . , - Drinking fountain 16.60 ` : ❑ °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 16.60 - - APPLICANT❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: r \ ( U� $t xIC 4-t „. " Interceptor /grease trap 16.60 Contact name: S -EEt,J y-L'4- ( /,._ Medical gas (value: $ ) Page 2 Address: 1 .53 a 7 llf " 0-ecr-- .m.- (A)04-4/ Primer 16.60 City /State /ZIP: 0p�-k.i 9._ o r„.. ? ?a -)- 7 Roof drain (commercial) 16.60 Sink/basin/lavatory 0,_ 16.60 Phone: (S3 22)3 - 6 1,1)4 Fax: : (+,SQ3) 6,e 7 _ 7/3 Tub /shower /shower pan / 16.60 E -mail: yV\ et.rtl k rk.) Q pt. 1-- r Co 011N.. '+ 1 Urinal 16.60 . - CONTRACTOR ,. , . Water closet / 16.60 Business name: (_ , (7( Water heater 16.60 Address: /9g6,..5 YI id it- � ,eg • A .3,2 Other: City /State /ZIP: &Es--- Gl��V' eg. 9746 Subtotal eP Minimum permit fee: $72.50 Phone: pp.-6 �p ��0 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: /76 .5:5" Plumbing Lic. no.: .5-9.3 Aig Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. P\Buitding\Permits\PLMF- PermitApp doc 12/27/06 440- 4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Ttilitiesu ` .Qty . .Fee ( _ Total ' S Footage: °Permit,Fee , E 4 s Footing drain - 1s 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 Storm & Rain Drain - I st 100' 55.00 Valuation:. Permit FeC: . ; , ' , $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 _ additional $100.00 or fraction thereof, to and Qty:, ;Fee (ea) `° Total :` Fixture' o It _ 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 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 •anil up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan' Review' for=Plurnbing`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:.° 7 .,Replace engineer. ,- 'Previous. . 'Capped Added Existing ❑ 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 Drinking Fountain , « - `• Isometric, or Riser Diagram , Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station • Shower -Gang -Stall Sink - Bar/Lavatory • - Bradley *Note: If thefixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is\ Building \Permits\PLM- PermitApp.doc 12/27/06 !� n CITY OF TIGARD "1 °- COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form • IMPORTANT PERMIT NOTICE Permit #: MST2008 -00080 Date Issued: Parcel: 2S103BA -00107 Site Address: 11710 SW ANN ST Subdivision: LERON HEIGHTS Lot: 007 Jurisdiction: TIG Zoning: R - 4.5 Project Name: POTTHOFF Description: 579 sq. ft. addition. Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. if you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: ROGER POTTHOFF s, � _ C/ c- r � PATTISON, SHANTHI A "� 11710 SW ANN ST TIGARD, OR 97223 Phone*: 503- 244 -4334 Phone #: ,-Q?- 76 q-5- 1 Reg #: AN INK SIGNATURE IS REQUIRED ON THIS FORM X gurt / 5377 -s Sigsatur- o Supervising Electrician e (printed) SUP LIC # vd eo :g0 80 oz Env s ` J1Jl1 10 VO V(.JLG J.J+vI I I ■• _. • •— • ' lig ' CITY OF TIGARD COMMUNITY DEVELOPMENT , :1 G: ik.,P; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 *e. Plumbing Signature Form S°1 p� Oti 0 IMPORTANT PERMIT NOTICE c■C * Permit #: I1ST2008 -00080 Date Issued: Parcel: 2S 103 BA-00107 Site Address: 11710 SW ANN ST Subdivision: LERON HEIGHTS Lot: 007 Jurisdiction: R-4.5 Zoning: 'FIG . Project Name: POTTHOFF Description: 579 sq. ft. addition. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid. please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: ROGER POTTHOFF L ‘61.6 e tLvAAVoAt t PATTISON, SHANTHI A 11710 SW ANN ST %1 N i At-SOY Sr TIGARD, OR 97223 uett40 ore., et1 2.7. Phone #: 503 - 244 - 4334 Phone #: 501., 913e_ ( 853 ' Reg #: 3,4413 eta C, c a {l 11.55 AN INK SIGNATURE IS REQUIRED ON THIS FORM 141.4 \WV. L`1a Signature of Authorized'ber Name (printed) • T'd EbbS ES2 COS ai aid Fy1.e3 80 e1 unC, I RE CEIVED 0 , .. . CITY OF TI 1GARD - SITE PLAN REVIEW JUN 0 9 2 008 BUIL DING PERMIT NO.: /'?jjrhtf& -- W CITY OFTIGPAD ' PLANNING DIVISION: _ Required Setl ks: la Approved , 0 Not Approved PtA}�N I n E'ER04 ill "411.. Side: Street Side: s . T Front. Ga age: �o Rear: � ! Visual Clearance. ❑ Approved ❑ Not Approved Maximum Building Height •� Ma '� feet ' % WS Service Provider Letter Required: ❑ Yes 0 No `,/ P 0 ❑ Received B>: A., Date: teicll • ENGINEERIN DEPARTMENT: Actual Slope: % 'a Approved ❑ Not Approved Site PI O: { -Approved b / a pproved 12' -r5 ASSUMED SEPTIC BY: (,4 t Date: . TANK LOCATION - Notes: ar,Atc.tt- g-"�"`� CONTRACTOR TO C �' VERIFY ON SITE. w I\ _ ' �' ` *)) EXIST. CO 0 EXIST. DECK VERED ' � S AB AND GONG . 0 1 A .� o 0140 A Pr 0 1 A I ,. .. ...� A110 I Ili _ I r ) r �ir I .f. 0 _ ....c ::!:::::..::.. ______:-, L1 r • .. •N I 'j L J II 1 -- EXISTING EXISTING GARAGE / RESIDENCE APPROX. 403 S/F `��■�I - a 1 APPROX. 1,448 S/F — I J I II 1 D I II I u a o a I II I I 11 I J II I I EXIST. CONC DRIVE BUILDABLE AREA 0 Nt 5' -O" T - BAC T - 5" V = U -'m d) 0 — PROPERTY LINE — — — ' — CITY OF TIGARD - SITE PLAN REVIEW BUILDI . G PERMIT NO: .. ' • - Approved ❑ Not Approved S treet Trees.: Approved • Not Approved • Protected Trees� pp Date: o 00 , g ,_ ; WIWWI; e ,1 4 . 9 ; 4 ( Arc Fire J1 l ec r ) 64 74-2700 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST20013-00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 Phone: (503) 639-4171 liolipiktWilit Inspection Requests (24 Hrs.): (503) 639-4175 0 , i'' 11. INSPECTION WORKSHEET FOR DATE: 1I&7 ,..9 TIME: 7:00AM PAGE: 14 )..JALNIA , i;4 4 ' - ' SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: ft HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503-7444334 CONTRACTOR: SJIVI CONSTRUCTION PHONE #: 503-803-6424 lAJC‘IA ' t Inspection Request Scheduled For: Date: 11i12009 __,. 01/41 Pour Ti le: / a.k(06,A) Code # Inspection Description Confirm # Contact # Me : age iz it j- ,,,; ,, 52- 299 Final inspection 079411-01 603-803-6424 -, ------- 7. C :-A V / elk co-Q ;orrecnons/Comme s nsiructions: Vi "ASS fror -P fr1 1t) <: PA lkI R 11111" AP PROVAL P ::--1:;:efr r-- / n CANCEL NO ACCESS Date: 1 &0 Phone #: Zja__q_X_ (503) 71 8- - b 44 3r2J$2) fl FAIL TM CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ----c=7:3) CITTOF TIGARD BUILDING DIVISION PERMIT #: MST200B -00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2712006 Phone: (503) 639 -4171 A ivplj1jt Inspection Requests (24 Hrs.): (503) 639 -4175 ._' INSPECTION WORKSHEET FOR DATE Q,. 6/2212008 TIME: 7 :01AM PAGE: 141 SITE ADDRESS: 11710 SW ANN ST (` CLASS OF WORK: SUBDIVISION: LERON HEIGHTS L T #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other du work. OWNER: POTTHOFF, ROGER PHONE #: 50::244 - 4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503- 603 -6424 Inspection Request Scheduled For: Date: 6/2212003 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough.in 074539-0/ 503-803-6424 N Corrections /Comments/ Instructions: r / i fyc, r d-7 L PASS •;, PARTIAL AP' OVAL ❑ CANCEL n NO ACCESS FAIL (4 C ■ NV" INSPECTIO■ ❑ ADDITION , L FEES A SSESSED Inspector: / _ Date: 0 Z 0 ` Ph one #: 503 p � ) 7 - CITTOF TIGARD 0 BUILDING DIVISION ! % PERMIT #: MST20013 -00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 Phone: (503) 639-4171 I � Inspection Requests (24 Hrs.): (503) 639 -4175 L. _'. �.. INSPECTION WORKSHEET FOR DATE: 812.1/2008 TIME: 7 :02AM PAGE: 16 SITE ADDRESS: •11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. It addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503.2444334 CONTRACTOR: SJM CONSTRUCTION sumo sa4• PHONE #: 503.803.8424 Inspection Request Scheduled For: Date: 8/21/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 074469-02 503 - 1303 -6424 N Corrections /Comments /Instructions: `bog • CA ovs (p lc Lsoo i lE Rt l % L I ---r_ co T s,nef• i iroas i s 8k) a - s'a ik(--L. (Zusae.'1 (_:, g ''' Pi\P' - n PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS it FAIL I i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • N Date: i t• 1,0 Phone #: (503) 718 - Akt________ ‘. , _ • CITY ��������������� ��nm n ~��m °m�m�m���� BUILDING DIVISION PERMIT #: MST2008-00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6J27Y2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _ INSPECTION WORKSHEET FOR DATE: 9V9/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: P{)TTH()FF DESCRIPTION: 79 sq. ft. addition. Mechanical other. duct work. OWNER: PO7TMQFF.RQGER PHONE #: 503'2444334 CONTRACTOR: SJINC[)NGTAUC7!0N PHONE #: 603 Inspection Request Scheduled For: Date: EV9V2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 076280-01 603^803-6424 N Corrections/Comments/Instructions: --'------ ^ K� PASS I I PARTIAL APPROVAL 0CANCEL NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: V \ \[1 ^- 4 ' Date: ci\ c \ mR; Phone #: (503) 718- CITY,.OF TIGARD BUILDING DIVISION 1 t PERMIT #: MST00f3 Ot?I~t30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5127/2008 Phone: (503) 639 -4171 A i � ia�F � �putli l li Inspection Requests (24 Hrs.): (503) 639 - 4175!41 INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POT!°HOFF DESCRIPTION: 579 sq ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 - 244 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 8/2112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 074468 -03 503 - 803.6424 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr6 wl■- \ \ \r - Date: 7 `2 \ `1T\ Phone #: (503) 718- • • CITY .OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISeUED: 6,27/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8/13/2008 7:00AM SITE ADDRESS: CLASS OF WORK: 11710 SW ANN ST SUBDIVISION: LOT #: TYPE OF USE: LFRON HEIGHTS 007 PROJECT NAME: POTTHOFF DESCRIPTION: 5'79 sq. ft. addition. Mechanical other duct work OWNER: PHONE #: POTTHOFF, ROGER 503-244-4334 CONTRACTOR: s f CONSTRUCTION PHONE #: x .0 3 _ 80 3.64 2 4 Inspection Request Scheduled For: Date: W13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 074142-01 971-645-5794 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL pi CANCEL 0 NO ACCESS 0 FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: (T /1...A.J \ Date: ( Phone #: (503) 718- . , . CITY,OF TIGARD . BUILDING DIVISION PERMIT #: MST2008- 017080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 64 , 27 p 0 08 Phone: (503) 639 -4171 �m�ii , i Inspection Requests (24 Hrs.): (503) 639 -4175 :.' ' �.. INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: I,FRON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 576 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 603-244-4334 CONTRACTOR: SJMVM CONSTRUCTION PHONE #: 603-803-6424 Inspection Request Scheduled For: Date: 7/2512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 310 Crawl drain 073215 -02 503-803-6424 N Corrections /Comments /Instructions: ,3 aL lx,...„ u f 4\ v t 3 \\e--A. U L- t..i 10, ✓ 0 v S4-6, L Lt-.4 - r4 d 4 L0 L Ca t, l f :-761 ' 1 , - c.4 ‘ k -c.,.J Co 1.-)..I e c,.-s.-c -et 1-6 c ch V 1-- 0 ve , cS l r - k'c, o-, ❑ PASS VI PARTIAL APPROVAL l CANCEL ❑ NO ACCESS [ I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i \ I h.— Date: T Ps ) b� Phone #: (503) 718- • CITY.OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 Phone: (503) 639 -4171 A A, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 50:3 -241 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: • 503.803 -6424 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 072866 -01 971 -645 -5794 V Corrections /Comments /Instructions: • 12 PASS ' PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL ! CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 1 Phone #: (503) 718- _ CITY-OF TIGARD BUILDING DIVISION PERMIT #: MSf2008.0O080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G/27/20013 Phone: (503) 639 -4171 A 4���Ais Inspection Requests (24 Hrs.): (503) 639 -4175 Afri- II. INSPECTION WORKSHEET FOR DATE: 8/29/2008 TIME: 7:00AM PAGE: '10 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HOOP - ITS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 5Th sq. ft. addition. Mechanical other- duct work. OWNER: PO1THOFF, ROGER PHONE #: 503- 2444334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503 - 803&424 Inspection Request Scheduled For: Date: 8/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 074873 -01 503-803-6424 N Corrections /Comments /Instructions: PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: XPN Date: 5 — 25-6 Phone #: (503) 718- '' CITY.OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6127/2000 Phone: (503) 639 -4171 a i rIpu�N ICI ek Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 33 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOf F DESCRIPTION: 573 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 CONTRACTOR: MA CONSTRUCTION PHONE #: 603 - 803- Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 074775.01 503 - 803.6424 N Corrections /Comments /Instructions: Al-- S --e.0 VI C Ler.t i ,2rt - H..,_ 2 14'- . C5. , / /,'ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED jv Inspector: ! Dater -- ei —G'S, Phone #: (503) 718- 8255 SW Hunziker St. Suite 201 Tigard, Oregon 97223 — W ConsuLting L_ngineers Phone: 503- 968 -9994 Fax: 503 - 968 -8444 July 11, 2007 Roger Potthoff 11710 SW Ann Street Tigard, OR Re: Potthoff Residence Addition — Phase I Project #: 8165 Roger, The following is in response for a request for information regarding the shear wall located near the kitchen and dining room. It is our understanding that the PHD5 holdown can not be placed at the end of the shear wall near the window in the kitchen due to existing obstructions. This holdown and anchor may be moved 1'-6" away from the end of the wall provided that an additional PHD5 holdown and 518" diameter threaded rod embedded 10" using Simpson 'SET' epoxy is added centered between the two anchors. In addition since the exterior plywood sheathing does not extend to the mud sill, provide Simpson 'SDS'/4 x4' / %' screws (414" o/c from the bottom plate of the wall to the mud sill. If you have any questions, please do not hesitate to call. Sincerely, Hayden Consulting Engineers, Inc. By: G '�— Curtis McFeron, E.I.T. �ti ,: �.1 T.+ r � ...pe, Ys 1 , / ! Y' P y . y l �kfits'ai H ,}�. "`dsa•.. ». ..�''tir �° ^.'�� ry -� � }"LS "; g i . � q�y:^' �-^ .,pui'� .%�i. ° - ^`r�r,'.'< ' �• �a.+ Fkti• �`/' ��" " G' .{�. ::y..b».i<- •`so� a;.�.,x; .. Main Office Salem Office Bend Office -P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Project: /23 r t n elfP s'7k,� Address: // 7 / Slnf CTI Job #: 1o7 « CTI representative ('/1 Ma 1 c'. fl0 6 ) !9 o 7 was on site this date ` ' 27- to perform (Inspector Name & Cert. No.) • Special Inspection for Ea' permit El DFS #(s) 4 Si� 0 — o(D3 O jurisdiction In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. � /J p p eD /�?7 S �vL'i'r./auti/1 S lwP� � J E Name: 'z r�� • i2 nl-ec 111 /U e ✓J e° / Company: �( /Y1 C iJY1 C'r, / e1 43/e /J 7, 2. Inspection was "IBC". Q Continuous ❑ Periodic �, p se SET eio' '! C � co f 4 A.'J p j eG1-. PROPRIETARY ANCHORS Yes NoN /A 1. Reviewed previous inspection reports? )( • 2. Reviewed evaluation report? X REPORT SUMMARY Verified following items meet manufacturer's published installation instructions. 1. Work inspected was: P 1E1 Completed 0 In progress 3. Verified minimum embedment depth of the 2. Completed work inspected n was n was not anchors. 4.Verified installation of the anchors. in compliance with 5. Verified anchor diameter. - ® Approved plans and specifications 0 Shop drawings 6. Verified steel grade. J` ❑ RFI ❑ Design change [j Submittal 0 N/A 7. Verified hole diameter. Document #(s) Dated: 8. Verified type of drill bit used. � 3. Noncompliance item(s) were noted this date, details on 9. Verified hole cleaning method. following page(s). 0 Yes 0 No N/A 10. Verified adhesive application. j=1 11. Verified edge distance. 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. on following page(s). n Yes n No � N/A 13. Verified installation torque. n Conform n Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with of d e' (NO S1. Name of product being installed (% en9 ✓'t.3Y1 </ Batch Number /-K:714(_-_,_ , 2 2 / /3 *1€12 Expiration Date / 0 - 5—;" / Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing hhaasn' autho ''ty to direct work of contractors or subcontractors. Inspector Signature: � See additional report page(s) Distribute attachments. Page / of PropAnch 06/16/08 Terms: Client recognizes that construction observation and/or testing services provided by CTI are techniques which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con- struction. Services performed by CTI, do not constitute a warranty or guarantee of,any type. Even with diligent construction monitoring and /or testing by CTI, construction defects, deficiencies, or omissions in the Contractor's work may exist. In all cases, Client and /or the Contractor shall assign the Contractor the responsibility for the quality and completeness of the work and for adhering to plans and specifica- tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised • under similar circumstances by members of its profession. This representation is in lieu of other warran- ty or representation, either expressed or implied. It is also understood and agreed that statements made in CTI reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. CTI's work shall not include determining, supervising or implementing the means, methods, techniques, • sequences or procedures of construction. CTI shall not be responsible for evaluating or reporting job con- ditions related to health, safety or welfare. „......_, _. • CITY OF TIGARD BUILDING DIVISION \ dlo PERMIT #: MST2008-000/30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 607/2008 Phone: (503) 639-4171 At 0 Inspection Requests (24 Hrs.): (503) 639-4175 ,..._.„ 4 i t INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: tin sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503-244-4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 8/2E42008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 074668-01 503-803-6424 N Corrections/Comments/Instructions: -. /-__ - _ -r-c... . h.L.... < ' - C are.541L- cl e Sr72. (..CrtfaS 1 PASS 4TIAL APPROVAL El CANCEL NO ACCESS I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: -' Date: 9-2..6 - 6' Phone #: (503) 718- "...1--4-:.s---- CITY. OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2008 -00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27120011 Phone: (503) 639 -4171 thv16 i Inspection Requests (24 Hrs.): (503) 639 -4175 .Jai- AL INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM • PAGE: 3 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POT MOFF DESCRIPTION: 579 sq. It addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503244 -43 4 CONTRACTOR: SJIYM CONSTRUCTION PHONE #: 603 -803 -6424 Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 074668-02 503-803.6424 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - Date: g --eb Phone #: (503) 718- • 1 I nitt V NT 8255 SW Hunziker St. 0 Suite 201 Tigard, Oregon 97223 Consulting Engineers Phone: 503 -968 -9994 Fax: 503- 968 -8444 August 21, 2008 Roger Potthoff 11710 SW Ann Street Tigard, OR Re: Potthoff Residence Addition — Phase I Project #: 8165 Roger, The following is in response for a request for information regarding the shear walls and holdowns located at the back of the new addition. It is our understanding that the back wall of the new addition has been revised. This wall now has a double door which is centered in the wall in lieu of the door and window. No modifications to the exterior nailing and holdown locations are necessary provided that the two sections of full height walls at the ends are larger or the same size as the original configuration. If you have any questions, please do not hesitate to call. Sincerely, Hayden Consulting Engineers, Inc. �. •` i l:J is • By: Curtis McFeron, E.I.T. sip p. rt � t p r - \ : f fi r✓ CITY-OF TIGARD ' 4 BUILDING DIVISION PERMIT #: MST2008- 00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/:27/2008 Phone: (503) 639 -4171 A t ���i� Inspection Requests (24 Hrs.): (503) 639 -4175 W 'f .. INSPECTION WORKSHEET FOR DATE: 8/22/2008 TIME: 7:01AM PAGE: 15 . SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 678 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503-2444334 CONTRACTOR: SHIM CONSTRUCTION PHONE #: 503-803 -6424 Inspection Request Scheduled For: Date: 8/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Exterior sheathing 074533 -01 503- 803.6424 Y Corrections /Comments /Instructions: , 440 / r,wA..s ❑ PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: p ,--Z-7---°— ,--Z-7---°— Date: , d g Phone #: (503) 718- Z-141-D-- Z-141-D-- CITY.OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2001 Phone: (503) 639-4171 � ,ml @10 00 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7 :02AM PAGE: 12 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 570 sq ft. addition. Mechanical other. duct work. OWNER: POTTHOFF, ROGER PHONE #: 503.244 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503,.003.5424 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6'15 Mechanical rough -in 074471 -01 503-003-6424 N Corrections /Comments/ Instructions: 0 _7 - Z.tid eC1-117e.)V .G P ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: g — 2/ 2i Phone #: (503) 718- �...„---/ CITY, OF TIGARD BUILDING DIVISION PERMIT #: f�tST2006O00:#0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/27/2 {t08 Phone: (503) 639 -4171 �r� �nu� N a ,I Inspection Requests (24 Hrs.): (503) 639 -4175 A.- r'L �.. INSPECTION WORKSHEET FOR DATE: 8/21/ 2008 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: t,FRON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 - 244 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503-803.6424 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 074469 -04 503-803-6424 N Corrections /Comments /Instructions: . al . z i e.4L 4, Y C ,4°r ) • 4.44/L U , /'✓ .L. if i, ' . ❑ P SS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 Date: 9 -ty.-e- Q1 Phone #: (503) 718- 244---- - . ` 11111111117. ������U�������� ' a�'n o n�m��nn�� BUILDING ��U��U«�U��0� PERMIT ~°~°^~~~�""~~� ~�"~"~°"~~"° #: &4ST2008-08080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6J27/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 a� 11. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � W21/2008 � 7� O�AkA � 17 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERC)NHE]{;MTS LOT #: 007 TYPE OF USE: PROJECT NAME: PQTl DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTM0FF.RQGER PHONE #: W9-244-4334 CONTRACTOR: SJI0 00MSTRUCTI0N PHONE #: 503-803-0424 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 074469-01 505'803-6424 N Corrections/Comments/Instructions: ) �97' . PAS U PARTIAL APPROVAL 7 CANCEL ri NO ACCESS R'6IL I | CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: ./�^�' � Ootm:,/~ Phone #: (503) 718- 2 _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00080 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 61 712000 Phone: (503) 639 -4171 A 11 ( Inspection Requests (24 Hrs.): (503) 639 -4175 1L. INSPECTION WORKSHEET FOR DATE: 8/20 TIME: 7`02AM PAGE: 10 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq_ ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503- 244 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503 - 803.6424 Inspection Request Scheduled For: Date: 8/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 074410 -01 503-803-6424 N Corrections /Comments /Instructions: . Amle..- i'cliii s-z' s ( AR 1121 ems, 16 d /".. s, • "' .....-4e..1.- ,- •a- /PDLVn) r'' Z AA ° --re --re 6 7 G ?I o ,OP !� , -.. / — --(_I —iJ L ' ' C! - AA . `E5� --r 45, IPA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -- .,a)--o EY Phone #: (503) 718- 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: T2008-00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &27/2008 Phone: (503) 639 -4171 � 4p��i ) Inspection Requests (24 Hrs.): (503) 639 -4175 �.! INSPECTION WORKSHEET FOR DATE: 7125/2008 TIME 7 :00AM PAGE: 24 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 570 sq. ft. addition. Mechanical other - duct work, OWNER: POTTHOFF, ROGER PHONE #: 503. 2444334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503-80,3-642A Inspection Request Scheduled For: Date: 7/25/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 206 Footing 073215 -01 503-803-6424 N Corrections /Comments/ Instructions: ©k -No S.`' a PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5 Date:)U //0 Phone #: (503) 718 - (l2 CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST2008.00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2712000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 —W. INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 20 I 21 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 CONTRACTOR: S,I1v1 CONSTRUCTION PHONE #: 503-803.6424 Inspection Request Scheduled For: Date: 7/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 072869-03 503-803-6424 Corrections/Comments/Instructions: 2Joi h f41 1 7q e g- DA---rt< , The. A-D c2:62,,J — r7:3• /e:A„.1 r PA 4 PARTIAL APPROVAL - CANCEL 11] NO ACCESS FAIL rn CALL FOR INSPECTION - ADDITIONAL FEES ASSESSED ..morw Inspector: S Date: 7 (P/S 1 O g Phone #: (503) 718- Z.6 Z777 CITY. OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6127/2000 Phone: (503) 639 -4171 Al �� u p l f Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' �f INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 -214 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503- 803 -6424 Inspection Request Scheduled For: Date: 7/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 072869-02 503 - 8036424 N Corrections/Comments/Instructions: ��. 4 tt > M PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL /n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED J . Inspector: _ 4 Date: , Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200€3 -00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/20013 Phone: (503) 639 -4171 ��bipmyp��� Inspection Requests (24 Hrs.): (503) 639 -4175 ._.. INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft. addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503-244-4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 7/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 072869-01 503-803-6424 N Corrections /Comments/ Instructions: k) rs fZ L74Z1\( ❑ PASS ' PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS 1 �Ii y;� . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • 1 Inspector: - : - i _ _ AMP Date: _ 3 Phone #: (503) 718 - 2-64/Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27120013 Phone: (503) 639- 4171 �Un�ifll° it Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7 :00AM PAGE: 20 SITE ADDRESS: 11710 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 007 TYPE OF USE: PROJECT NAME: POTTHOFF DESCRIPTION: 579 sq. ft_ addition. Mechanical other- duct work. OWNER: POTTHOFF, ROGER PHONE #: 503 -244 -4334 CONTRACTOR: SJM CONSTRUCTION PHONE #: 503-803 -6424 Inspection Request Scheduled For: Date: 7/14/2008 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 072580 -01 503-803-6424 N 246 F: c7. 4v Corrections/Comments/Instructions: a) Id V / - art— d /.}- r = - _ e:. ,. 1 - . I A l 1 IV PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -- - 4.0.r.tur Phone #: (503) 718=