The URL can be used to link to this page

Permit r ll° ''" ,,...,,G I ,, Ls'�.Z�tVs / MASTER PERMIT t' '' ill I TY O F TIGARD I G R ® / PERMIT #: MST2007-00223 COMMUNITY DEVELOPMENT DATE ISSUED: 1/18/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134CB -15800 SITE ADDRESS: 12369 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 085 JURISDICTION: TIG PROJECT: POPKINS Project Description: 236 sq ft addition. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 236 sf BASEMENT: sf LEFT: 5 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: 236 sf 22,417.64 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES. BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 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: 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 /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amplvolt : 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 A. 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 S 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 ED & KARIN POPKINS FORDE ENTERPRISES laws. All work will be done in accordance with approved plans. This 12369 SW ANTON DR 12855 SW 113TH PL permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080 You may obtain copies of these rules or direct Phone: 503 - 268 - 1490 Contact #: PRI 503 - 670 - 0168 questions to OUNC by calling 503.246.6699 or 1.800.332 2344 Reg #: LIC 103842 TOTAL FEES: $ 767.53 • REQUIRED ITEMS AND REPORTS Issued By :�,� Permittee Signature : Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit,.Application ' O9)' 8 1,7 s. to f4/v 7)A/ Residential`' FOR OFFICE USE ONLY . • City of Tigard REcuvr. stleceived /1- 7 O ,r Permit No.: • �D7.-61:0p3 e 13125 SW Hall Blvd., Tigard, OR 97223 Plan R y: g 1 jot _ '.' Phone: 503.639.4171 Fax: 503.598.1960 DEC lan R C t 7 2007 Date/By: eview l� 'cA. Other Permit: ` Inspection Line: 503.639.4175 rr A I^p Dat Ready /By: � /� ® See Page 2 for �T IGARD g g �� 6Y �d � Notifi ed/ Metho d:� 8 1 tCA Supplemental Information ard -or. ov 3 Internet: www.tigard-or.gov •• , .... .., ■...,. - . . TYPE OF- WORK • ,; • "REQUIRED DATA:, =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 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the c� , CATEGORY OF' CONSTRUCTION work indicated on this application. �JJ 1- and 2- family dwellin ❑ Commercial /industrial — Valuation: $- �� Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION . . Total number of floors: Job site address: /7,3 (,) 9 StA) f , { Tort D-z New dwelling area: square feet City /State /ZIP: PORT Z/41-M) , 0'?.--- 9 ?.‘3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: po r> /j 1/4 1 3 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:•COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. S7Lib . {D 45 /)L7On( Valuation: $ Existing building area: square feet New building area: square feet , X PROPERTY OWNER ❑ TENANT Number of stories: Name: E-/ k 4-z iN papk / , Type of construction: Address: /2 6 5 50 Ai - -e,"1 062 Occupancy groups: City /State /ZIP: p0txt, 0 2 9 ....4 Existing: Phone: (.7S) ....?6,0 ) 9 Q Fax: ( ) New: 7i APPLICANT ❑ CONTACT PERSON NOTICE Business name: a e_j j. 4 �O s As All contractors and subcontractors are required to be Contact name: C- 7-7-0210.6 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / 2 .S' // 37/ L jurisdiction in which work is being performed. If the City /State /ZIP: 71 G'" `�-� t- 9 -7 ? a 3 applicant is exmpt from licensing, the following reasons l apply: Phone: k_S---03 ) 69 0 0 j 6 g Fax:: ( ) E -m 50 3)' hi LI \ 4 3 . . . . CONTRACTOR . Business name: 'BUILDING PERMIT FEES* Address: S'ivil (Please refer to fee schedale) r ' Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) CCB lie.: rl/_Jl FLS plan review fee (if applicable): t(y1c y Total fees due upon application: /60. 3� i Amount received: /&() . 3e) Authorized signatur . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �-_ L r A. Date: * Fee methodology set by Tri- County Building Industry /w Service Board. I:\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(1 I /02 /COM/WEB) , Building Permit Application Checklist , One- and Two- Family Dwelling FOR OFFICE USE ONLY City of Tigard Received permit No.. II Date /By: a 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: C Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TI Internet: www.tigard- or.gov ❑ Other: THE - FOLLOWING ITEMS A RE REQUIRED FOR PLAN REVIEW ''. Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat /lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report.. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ Cl building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. . 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roofconstruction. 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 Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. tlBuilding \t'ermits \BtUP- RES- PermitApp.doc 03 /2!/06 440-4613T(1 1 /02/COM/WEB) Plumbing Permit Application Building Fixtures . FOR OFFICE USE ONLY City of Tigard E Received Permit No.: �a • 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By: �� / 7 I rp�� 2 ¶ 20 7 200/ 7 Plan Review � 1 P hone: 503.639.4171 Fax: 503.598.19600 1 7 U / Date/By: Other Permit No.: Inspection Line: 503.639.4175 Re T 1 G A R D g g CITY Y OF - EI G� 6 D Date Ready /By: Juris ® See Page 2 for Internet: www.ti ard -or. ov 99 3 t J1P6 Notified/Method: Supplemental Information TYPE OF WCrlill d MiL3BIS ILl '' FEE* SCHEDULE ❑ ew construction ❑ Demolition For special information use checklist Description Qty. I Ea. I Total J A dditionIa1terationIreplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El 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 69 Sj �. Catch basin or area drain 16.60 City /State /ZIP: P0Q).--147,6 0 2 9 p Az... 2 o) 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: (� p i Footing drain (no. linear ft.: ) Page 2 / j 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: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 . Backwater valve 16.60 P3v v t /747 7e A?.8 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑TENANT Drinking fountain 16.60 Ejectors /sump 16.60 - Name: E jD p d (? ,e,-,--; Expansion tank 16.60 Address: / 2, 3 6 9' S e., 7,, b ,e_ Fixture /sewer cap 16.60 City /State /ZIP: P U 2ih9-, --O 0 2 9 2 as 3 Floor drain /floor sink/hub 16.60 ) .6� / 69 a Phone: Fax: ( ) Garbage disposal 16.60 0 APPLICANT ❑ CONTACT PERSON Hose bib t 16.60 Ice maker 16.60 Business name: -1 ,71-)'P / -S/-...5" Interceptor /grease trap 16.60 Contact name: r- ✓ 4 1 j _.I) j Medical gas (value: $ ) Page 2 Address: `2_ 5 J f f L Primer 16.60 City /State /ZIP: 7/6-n/?/) 02._ 9 >a .) 1 Roof drain (commercial) 16.60 �" J Sink/basin/lavatory 16.60 Phone: ) 6 70 e ,g g Fax: : ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR ' Water closet 16.60 Business name: ":).. ! 0 6,6 " Water heater 16.60 Address: Other: Subtotal City /State /ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential back minimum permit fee: $36.25 CCB Lic.: /zest/3 0 Plumbing Lic. no. 6 627 Pei Plan review (25% of permit fee) State surcharge (8% 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. 1 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 Utiliti Qty. Fee (ea) Total` Square Footage: Permit Fee: Footing drain - U' 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 &Ram Drain - 1st 100' 55.00 Valuation: Permit ;Fee: $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 Q Fee Tl additional $100.00 or fraction thereof, to and Fixture Or Item Qty. ee (ea) Total $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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater; except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in 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. -3" 4 „ Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: • i \Building\Permits\PLM- PermitApp doc 12/27/06 Electrical Permit Application FOR OFFICE USE O City of Tigard ' —^ ;i1.7: Received / P No t r`a Date/By: / 7 47 /zRe / 7 2-3 ° 13125 SW Hall Blvd., Tigard, OR 9722 +j D Plan Review O 1 i ` Crpj ,� Other Permit: P hone: 503.639.4171 Fax: 503.598.196 Date /By: T I G A R D Ins Line: 503.639 ¶ w 200 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov DE Jl 7 Notified/Method: Supplemental Information �a -. Y 4 Up d 40 TYPE OF WORK _ man t PLAN REVIEW ❑ New construction Addition /alteratioi>t/Lega"cemat! °111 a Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ 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 14 I- 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 ", "I -2 ", "I -3 ", Job no.: Job site address: / Q C ( q��, , IOOHP or more. occupancy. / (`J / V (i✓ � ;/ 5Z ❑Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: pV o--1! 2 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: pvpk ❑ Service or feeder 600 amps or more. FEE, SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK' (with above sq. ft.) Limited energy, multi - family /4 DP, >- („ residential (with above sq. ft.) 75.00 2 J I Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 A .PROPERTY. OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: D �JJj /c PSP,�i � { 601 amps to 1,000 amps 240.60 2 Address: / 2 3 / 5 .. S 4) , �� ,,,, D k Over 1,000 amps or volts. 454.65 2 Temporary services or feeders installation, alteration, and/or City /State /ZIP: p r 0 9 7o/c. 3 relocation Phone: (4 ) 6E) i y 90 v 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 APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: ,11 B. Fee for branch circuits without service or feeder fee, Contact name: 46.85 2 v aG /��4 first branch circuit Address: l Z� 6--r SG, //31 , PL Each add'l branch circuit ' 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: I/6_40-0 6 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (i 3 ) 4 70 0/6 g 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: �, �'""/ I�� energy panel, alteration, or Address: �r� `� extension. Describe: Page 2 2 City /State /ZIP: / Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (6 620 9 06 Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: % y U ? 1 Electrical Lic_Fli 9/ , Suprv. Lic.:1192 g 5 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: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. i:\ Building \Permits\ELC- PermitApp doc 05/23/06 440- 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ':RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: COMMERCIAL, WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: . ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermitApp doc 03/23/06 Mechanical Permit Application FOR OFFICE USE ONLY . City of Tigard ' (��lJ Received / Permit No.: L ° 1312 SW Hall Blvd., Tigard, OR 912-23 �' v DateBy: �2 I7 �� ? �a� II c � v Plan Review 1 ' .: ' Pho ne: 503.639.4171 Fax: 503.598. Date/By Other Permit: Inspection Line: 503.639.4175 p.. 0] Re T I G AR D DEC C 20 Date ReadyBy: Juris ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information Cr v ICW TIGP1 TYPE OFW.O1WA COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction A ddition /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: $ �1 - and 2-family dwelling RESIDENTIAL, EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: /z..., 6 ✓ "'9 Air conditioning or heat pump S 2 (requires site plan showing placement) 14.00 q-,._ 6 +7 6 +7 1 / 4 -0 City /State /ZIP: Po �- ® Z 9 2 . Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: p P) � . Gas heat pump e 14.00 p Cross street/directions to job site: Duct work 10.00 %6 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 Ey z_ /-7 fl . - 9 D..)c2i'` /Ailv Flue vent for water heater or gas Y1` 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 El TENANT Other: 10.00 Name: gi) to -. k.4.p„K Q P1Gi Environmental exhaust and ventilation Address: / 3 G� /4 ^, n Q Range hood /other kitchen Z S (� / !� t! equipment 10.00 City /State /ZIP: f on.71 a 9 > Clothes dryer exhaust 10.00 I, � Single -duct exhaust (bathrooms, L 3 Phone: ($ ) ?C F /y90 Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 � n Other: - 10.00 Business name: �R- ` "sue - 2e4-- Fuel piping Contact name: C L L 1 2JJt $5.40 for first four; $1.00 for each additional Address: l 2_ S / /3) PL Furnace, etc. Gas heat pump City /State /ZIP: ll�] 7//. il�`�,n ' 02- 9 ? e , 3 Wall/suspended/unit heater Phone: �U E� if'�1 / ?d 0 l 6 Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR _ Barbecue Business name: _Clothes dryer (gas) Other: Address: J� 7 MECHANICAL PERM FEES* , City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board I: \Building \Permits\MEC - PermitApp doc 01/19/07 440 -46t7T (I I /02 /COM/WEB) 4 • 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 DEC -16 -2007 23:21, FROM: ENDPOINT DESIGN 5034609317 TO:5036243681 P.2/2 I h g r ;}2 "OM: ENDPOINT DESIGN 5034609317 70:5036914439 P.2�3 ik OCT 0 8 2007 CHEyItV E R ....-,..0 l l� / cui t'W iter S erv i ces OCT 12 2007 ..„,....,„,..0,,, owe Fita Number • Sensitive Area Pre - Screening 1 0 #7-00v/ 7 Site Assessment Jurisdiction: Property information: (exempla 4A901400) Owner Information: ' 7exioi ID(s): $13� 1' � Name: ED + giiedli `NIPIo 4 , Company: Address:. 12349 S.W. AA(TM tR Site Address: 1 23 /09 S 1.i . At1TON be. ` j o i % ea O q`7 22.3 --ri GAZD l 6e 91 22'S Phone /Fax:. SD3 r ?Z( • 14} 9 / Nearest Cross Street: 5 .V. 1 2.,5+1. 41/E. E - mail: Development Activity: Check all that apply Applicant Information: ' Addition to Single Family Residence (rooms, deck, garage)„„a Name: )± O SPCN CE f Lot Line Adjustment ❑ Minor Land Partition 13 Company: END F,5 &At Residential Condominium ❑ Commercial Condominium ❑ Address: ► — .. e RLV n Residential Subdivision ❑ Commercial Subdivision ❑ silt ?E 2 • - rueNb.Oe 9 Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone /Fax: a3 • 440• 13 / Other E -mail: ENDkbl Af IA 1JAit .CAM . Will the project involve any off -site work: YES ❑ NO iik,!' Unknown ❑ Location and description of off -site work: Additional comments or Information that may be needed to understand your project: I This application does NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1 Z00.0 Permit or other permits as Issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owners authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering Information related to the project site. I certify that 1 am familiar with the Information contained In this document, and to the best of my knowledge and belief, this Information is true, complete, and accurate. Print/Type Name: E S , E C E it Print/Type Title: F' N ! WAIT bE S l &A1 Signature: ..iV _.4 Date: 1 3.,• Qa FOR DISTRiCT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SiTE ASSESSMENT PRIOR TO ISSUANCE OF ASERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area 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 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referehoed project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Prescreening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02,1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9 /9 /95 ORS 92.040(2). NO SITE ASSESSMENT 0 SERVICE P VIDER LETTER IS REQUIRED. Reviewed By: ii---- Date: //O ? 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 PA-1U- Phone: (503) 681 -5150 • Fa,c (503) 881 -4439 • vnvw.claanwat0reav'M.or5 Ramat May O. 2007 MR CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Ce lia" Electrical Signature Form _. i_ g / caPy'. IMPORTANT PERMIT NOTICE WEBER ELECTRIC INC PO BOX 231154 TIGARD, OR 97281 Permit #: MST2007 -00223 Date Issued: 1/18/2008 Parcel: 1 S134CB -15800 Site Address: 12369 SW ANTON DR Subdivision: ANTON PARK NO. 2 Lot: 085 Jurisdiction: TIG Zoning: R -7 Project Name: POPKINS Description: 200 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: ED & KARIN POPKINS WEBER ELECTRIC INC 12369 SW ANTON DR PO BOX 231154 TIGARD, OR 97223 TIGARD, OR 97281 Phone #: 503 - 268 -1490 Phone #: 503 - 620 -1906 .Reg #: ELE 34 -442c LIC - 44087 SUP 4028S AN INK SIGNATURE IS REQUIRED ON THIS FORM X /V/c cc+` giber 4021 3 Signature of Supervising Electricia Name (printed) SUP LIC # Jan 21 08 07:21p Patrick 503 - 239 -7516 p.1 CITY OF TIGARD • . COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE PARAMOUNT PLUMBING COMPANY 6019 SE 23RD AVE PORTLAND, OR 97202 -0000 Permit #: MST2007 - 00223 Date Issued: 1/18/2008 Parcel: 1 S134CB -15800 Site Address: 12369 SW ANTON DR Subdivision: ANTON PARK NO. 2 Lot: 085 Jurisdiction: R -7 Zoning: TIG Project Name: POPKINS Description: 200 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: ED & KARIN POPKINS PARAMOUNT PLUMBING COMPANY 12369 SW ANTON DR 6019 SE 23RD AVE TIGARD, OR 97223 PORTLAND, OR 97202-0000 Phone #: 503 -268 -1490 Phone #: 231 - 0794 FAX Reg #: R9-7516 103842 LIC 125438 PLM 26 -627PB LIC 44087 LIC 103842 AN INK SIGNATURE IS REQUIRED ON THIS FORM N/ G� Signature of Authorized Plumber Name (printed) � -- . . . . ' CITY N�� mm m ��m �o��mnn�� / � . . BUILDING DIVISION ' PERMIT � | ~~~~^~~~~^^~~~ ~~~~^~~~~~^~ #: `^~~~'-~~~~~ | 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: ii18/200t) Phone: (503) 639-4171 AMI Inspection Requests (24 Hrs.): (503) 639-4175 a,-41�N~ 111. 1 INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7101AM PAGE: 4 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: AWlT)N PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 23GaqfLaddition. OWNER: POPKINS, ED & KARIN PHONE #: 0O3-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 583-670-0188 Inspection Request Scheduled For: Date: 4111/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 209 Final inspection 068265-01 503484'1043 N Corrections/Comments/Instructions: • . . PARTIAL APPROVAL II] CANCEL ri NO ACCESS I | FAIL el CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED � �� Inspector: '' „,.• Date: /-6 Pr Phone #: (503) 718- - 2-4 -4 ") . CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2007- 01)223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/200f1 Phone: (503) 639- 4171 �tiio�H I � I ' i Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 418/20013 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft ;addition, OWNER: POPKINS, ED & KARIN PHONE #: 503- 268 -1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503 - 0168 • Inspection Request Scheduled For: Date: 4/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 mechanical final 068042 -03 • 503.784 -1043 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ii Date: 8 YJS Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1118/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3112/2008 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 12369 SW ANTON ON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503. 6O -1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 50 Inspection Request Scheduled For: Date: 31/212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallslanc:hors 066570 -03 503-784-1043 N Corrections /Comments /Instructions: • • ∎1 S PARTIAL APPROVAL f I CANCEL n NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: 3 -// e, Phone #: (503) 718- I F " CITY OF TIGARD BUILDING DIVISION , • PERMIT #: tvIST2007,00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3112 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503-268-100 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670-0168 Inspection Request Scheduled For: Date: 3/120008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 066570-04 503-784-1043 Corrections /Comments/ Instructions: I ASS PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1na200e Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 3112/2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670-016B • Inspection Request Scheduled For: Date: 3/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 066570-05 503-784-1043 Corrections/Comments/Instructions: • I FASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS 0 FAIL A A CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- < 1 5474- . , 1 CITY N-��U�� n n w OF nn��nm�� , ' ^ BUILDING DIVISION ' ~~~°"~~��""~~= ~°"°"~~"~~". PERMIT ��8T2DO��02�9 1 � | 13125SVVHnUBhd..Tlga�.ORQ7228 DATE ISSUED: 1/18/2088 Phone�(5O3)G39-4171 • Inspection Requoa�Q4Hm.):�Q3)83O~4175 _�& �' ^� �� INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: . PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPM!NS.EO&KAR!N PHONE #: 603'20B CONTRACTOR: FORDE ENTERPRISES PHONE #: 503'670-0168 Inspection Request Scheduled For: Date: 3/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Undmif|muvinow|adiwn 065570-02 503-7841043 N Corrections/Comments/Instructions: � PARTIAL �� CANCEL � NO ACCESS _ _ _ FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: / [�ab*' ~�-��-�� Phon�#� (5O3}718' � Date: 3 ^- ~ #: ` ' - CITY ��U�� mw n OF nn��oa�� . ' ` BUILDING DIVISION ��UU ~°~~.~~~°.."~� ~�"°.~~.~~"° PERM[T MST2007-00223 13126SVVHaUB�d,T�o�.DRO7223 DATE ISSUED: 1/18/2008 � Phone: (503 G639-4171 ' Inspection Requests (24 Hrs.): �Q3)S3Q~4175 Jakriimit INSPECTION WORKSHEET FOR DATE: 3V12/2008 TIME: 7:00AA0 PAGE: 25 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: AN(l)M PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503-26B-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 603-670'0168 Inspection Request Scheduled For: Date: 3/12Y2808 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 066570'01 603-784-1043 N . Corrections/Comments/Instructions: . El PARTIAL APPROVAL El CANCEL 0 NO ACCESS n FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: / Date: 3-il -o g• Phone #: (503) 718- 2.51~3v . . CITY OF ��n m n n�'w mn�m�mna�� . _ BUILDING DIVISION UUUU ~°~°"~~=°""~~° ~~"°"~°"~~"~ PERMIT #: KXST2OO��Og223 13125SVV Hall 8�d..7lgand.OR07223 DATE ISSUED: 1/18/2008 Phone: (503) 639-4171 ' . Inspection Roque�o(24Hm.):(5O3)G30'417S ^ � J �� ^ �J � INSPECTION WORKSHEET FOR DATE: 3/10V2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 603-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 603-670-0168 Inspection Request Scheduled For: Date: 3/102008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 005995'01 503~784iO43 N Corrections/Comments/Instructions: . PASS �� PARTIAL APPROVAL 0CANCEL 0 NO ACCESS 0 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEESAGSES8EO � ' Inspector: �- ^� � Date: � - 3 Phone #: (503) 718- CITY OF TIGARD • A BUILDING DIVISION . PERMIT #: MST2007-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2008 Phone: (503) 639-4171 zo,WAO Inspection Requests (24 Hrs.): (503) 639-4175 ., A ii- ' IL. INSPECTION WORKSHEET FOR DATE: 7 ,12012008 TIME: 7:00AM PAGE: 21 ... SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: popKiNs DESCRIPTION: 136 sq ft addition. OWNER: poPKINS, ED & KARIN PHONE #: 503-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670.0168 Inspection Request Scheduled For: Date: 212012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 065286-01 503-784-1043 V Corrections/Comments/Instructions: • 0 a/ti,4-0...5-‘4?- e (---,.,-,,,,, /D 4.f . L -....„,-- 7 -- --- • ..- 0 PASS ZRTIAL APPROVAL CANCEL I I NO ACCESS I FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: , Date,: z-f-e--fe Phone #: (503) 718- .. . . CITY �~�� U�� wn m ��n m'n�m��nn�� . _. ^ BUILDING DIVISION ' . PERMIT k4 | ~~`~'------ --'-^~~^-^~ � ,p/2007'00273 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1118C2008 Phone: (503) 639-4171 Inspection Requeo��Hm.):(503)63Q��175 ‘,.,_....0- e�� INSPECTION WORKSHEET FOR DATE: 2120/2008 TIME: 7:00A1A PAGE: 20 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: UDt; TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 2J6*qfiaddition. OWNER: POPKINS, ED & KARIN PHONE #: 503-269-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503'678'0168 Inspection Request Scheduled For: Date: 2/2012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Pot/beam mechanical 005286-02 603784-1043 Y Corrections/Comments/Instructions: , PASS El PARTIAL APPROVAL ri CANCEL E NO ACCESS 0 FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: /A [)ate: - 2--2.a--'^2a- Phone #: (503) 718- 7--77-4.t< CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2 00} Phone: (503) 639 -4171 ti „ li Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 2//3/2008 TIME: 7 :01AM PAGE: fit SITE ADDRESS: 12369 SW ANION DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: POPKIN S DESCRIPTION: 236 sq It addition. OWNER: POPKINS, ED & KARIN PHONE #: 03- 258.1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503 -670 -0168 Inspection Request Scheduled For: Date: 2/13/2008 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 064930.01 503 - 784 -1043 N Corrections/Comments/Instructions: 4 ',a S LC- /a-s l;irie- +G- P oh ,- S S r Za eK S JA- mss.... - 4--c S /74;44 p •‘„.. j PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2-- / / -- O g Phone #: (503) 718- L 9-4-b CITY ��U�� nm n OF �n�m�mno�� ^ • . ' ` � �UU ��U�� 8��U�U�� ' ~�~°"~~~°""~~° ~~"°"~°"~~"~ PERMIT #: � K48T2D0�O022D | | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2000 Phone:(503)839-4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 �,zo«t INSPECTION WORKSHEET FOR DATE: 4/0C2000 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK SUBDIVISION: ANTON PARK NO. 2 LOT #: WQb TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236oqKaddition. OWNER: POPKINS, ED & KARIN PHONE #: 503-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670-0168 Inspection Request Scheduled For: Date: 4/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 068042-01 503-784-1013 N Corrections/Comments/Instructions: . . ''Vt PASS . 0 PARTIAL APPROVAL 0 CANCEL | | NO ACCESS n FAIL 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED //lcr\ • CITY OF TIGARD _ BUILDING DIVISION PERMIT #: MST2007-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1/812008 Phone: (503) 639 -4171 A l (I Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503 - 268.1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503 - 670 -0168 Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 066298 -02 50 - 841043 N Corrections /Comments /Instructions: ° PASS El P - TIAL APPROVAL ❑ CANCEL I I NO ACCESS /PASS • /ALL FO''N "ECTION ' e II MO ' L FEES ASSESSED V a P hone #: 503 718 Inspector: £!ilr Date: Li ( CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2007-00223 13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 1/18/2008 Phone: (503) 639-4171 i, ,&!J v,t, 1 ----- Inspection Requests (24 Hrs.): (503) 639-4175 .„.....„.. - IL. f INSPECTION WORKSHEET FOR DATE: 212012008 TI E: 7:00AM PAGE: 19 SITE ADDRESS: 12359 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANION PARK NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 236 sq ff. addition. OWNER: POPKINS, ED & KARIN PHONE #: 603 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670-0168 Inspection Request Scheduled For: Date: 2120/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 33% Rain drain 065286-03 503-784-1043 N Corrections /Comments/ Instructions: ! PASS 0 PARTIAL APPROVAL 1 CANCEL El NO ACCESS / 0 FAIL 0 CALL FOR INSPECTION Ell ADDITIONAL FEES ASSESSED Inspector: x (b t ( Ay Date: 7 \ Phone #: (503) 718- flAIA CITY OF TIGARD e ,_ , BUILDING DIVISION PERMIT #: MST2007 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1B!2009 Phone: (503) 639 -4171 e "4/911 °� �I Inspection Requests (24 Hrs.): (503) 639 -4175 AIL. INSPECTION WORKSHEET FOR DATE: 418/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 12369 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: POPKINS • DESCRIPTION: 236 sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 603-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 603- 670.0168 Inspection Request Scheduled For: I .te: 418/2008 Pour Time: Code # Inspection Description /Confirm Contact # Mess- .e 199 Electrical final 068042 -02 503 -1043 Corrections /Comments /Instructions: W,0Y--' r∎ PASS El PARTIAL APPROVAL fI CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 6 N 60 Date: I A . u'\ Phone #: (503) 718- —, - CITY OF TIGARD . . c) ( BUILDING DIVISION . A PERMIT #: MST2007-002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/161200B Phone: (503) 639-4171 i4elferi, 1. N 1 c,A P N IA' Inspection Requests (24 Hrs.): (503) 639-4175 ,—.34 L. INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 12369 SIN ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: POPKINS DESCRIPTION: 2X sq ft addition. OWNER: POPKINS, ED & KARIN PHONE #: 503-268-1490 CONTRACTOR: FORDE ENTERPRISES PHONE #: 503-670.0168 Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: Code # Inspection Description Confirm # C ntact # Message 120 Electrical rough-in 066298-01 503-7841043 N Corrections/Comments/Instructions: XInspector: PASS fl -ARTIAL APPROVAL 0 CANCEL fl NO ACCESS FAIL A CAL OR I SPE ION 0 ADDITIONAL EES ASSESSED / e / . Datec.- P #: (503) 71? , _____,- -___ _ .- • _